Provider Demographics
NPI:1992008478
Name:INDMAN, BETTE (EDD, MFT)
Entity Type:Individual
Prefix:DR
First Name:BETTE
Middle Name:
Last Name:INDMAN
Suffix:
Gender:F
Credentials:EDD, MFT
Other - Prefix:
Other - First Name:BETTE
Other - Middle Name:PEC
Other - Last Name:INDMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:EDD, MFT
Mailing Address - Street 1:1475 SARATOGA AVE.
Mailing Address - Street 2:SUITE 140
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129
Mailing Address - Country:US
Mailing Address - Phone:408-255-1730
Mailing Address - Fax:408-253-8277
Practice Address - Street 1:1475 SARATOGA AVE
Practice Address - Street 2:SUITE 140
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95129-4900
Practice Address - Country:US
Practice Address - Phone:408-255-1730
Practice Address - Fax:408-253-8277
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-06
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT25584106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist