Provider Demographics
NPI:1982714762
Name:BELL, VERA MARIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:VERA
Middle Name:MARIE
Last Name:BELL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3780 KILROY AIRPORT WAY
Mailing Address - Street 2:SUITE 370
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806
Mailing Address - Country:US
Mailing Address - Phone:562-424-6015
Mailing Address - Fax:562-424-5234
Practice Address - Street 1:3780 KILROY AIRPORT WAY
Practice Address - Street 2:SUITE 370
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806
Practice Address - Country:US
Practice Address - Phone:562-424-6015
Practice Address - Fax:562-424-2244
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 13405103T00000X
CALEP 1550103TS0200X
CAMFT 13109106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPSY 134050Medicaid
CAPSY 134050Medicaid