Abbeyfield Psychotherapy INC
Psychologist, Clinical in Long Beach, CA. Organization (NPI-2).
NPI number1356613210
StatusActive
Last updated in NPPESJun 6, 2014
Details
- NPI
- 1356613210
- Entity type
- Organization (NPI-2)
- Legal business name
- Abbeyfield Psychotherapy INC
- Organization subpart
- No
- Enumeration date
- Feb 7, 2012
- Last updated
- Jun 6, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | LCS27670 | CA | Yes |
| 1041C0700X | Social Worker, Clinical | LCS19542 | CA | |
| 106H00000X | Marriage & Family Therapist | MFC43055 | CA | |
| 103TC0700X | Psychologist, Clinical | PSY19703 | CA | |
| 1041C0700X | Social Worker, Clinical | LCS18360 | CA | |
| 1041C0700X | Social Worker, Clinical | LCS25775 | CA | |
| 106H00000X | Marriage & Family Therapist | MFC46641 | CA | |
| 1041C0700X | Social Worker, Clinical | LCS21429 | CA |
Practice location
5479 E Abbeyfield StSuite 3
Long Beach, CA 90815-3050
Phone 562-498-5900 · Fax 562-498-5909
Mailing address
5479 E Abbeyfield StSuite 3
Long Beach, CA 90815-3050
Phone 562-498-5900 · Fax 562-498-5909
Authorized official
Tamera Benedict
Chief Operating Officer
5624985900
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