Provider Demographics
NPI:1184052011
Name:HALPERN, NETTA (LMFT)
Entity type:Individual
Prefix:
First Name:NETTA
Middle Name:
Last Name:HALPERN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 DEODAR
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-3156
Mailing Address - Country:US
Mailing Address - Phone:949-378-5135
Mailing Address - Fax:
Practice Address - Street 1:2102 BUSINESS CENTER DR STE 289
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-1001
Practice Address - Country:US
Practice Address - Phone:949-546-6618
Practice Address - Fax:949-276-3198
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-01
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA90532106H00000X, 106H00000X
CALMFT90532106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist