Provider Demographics
NPI:1265933956
Name:CHELBEGEAN, ROMULUS (PHD, LMFT)
Entity type:Individual
Prefix:
First Name:ROMULUS
Middle Name:
Last Name:CHELBEGEAN
Suffix:
Gender:M
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2582 S YOUNG CT
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408-4197
Mailing Address - Country:US
Mailing Address - Phone:909-855-7830
Mailing Address - Fax:
Practice Address - Street 1:1881 COMMERCENTER E STE 232
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-3479
Practice Address - Country:US
Practice Address - Phone:909-890-4466
Practice Address - Fax:909-890-4278
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-27
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103316106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist