Healthcare Provider Details

I. General information

NPI: 1659401263
Provider Name (Legal Business Name): LAUREL KAY SHEFFIELD MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREL KAY DREILING

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 09/24/2024
Certification Date: 09/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10221 HEATHER VALLEY DR
BAKERSFIELD CA
93312-2955
US

IV. Provider business mailing address

10221 HEATHER VALLEY DR
BAKERSFIELD CA
93312-2955
US

V. Phone/Fax

Practice location:
  • Phone: 661-201-8318
  • Fax:
Mailing address:
  • Phone: 661-201-8318
  • Fax: 661-868-6666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number47595
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: