MEDICARE: BETH NADEL LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	18563	CA

General Provider Information

NPI Number	:	1942601851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETH NADEL LMFT

Provider Business Mailing Address
First Line	:	4433 E VILLAGE RD STE I
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90808-1505
Country	:	US
Telephone Number	:	562-239-2281
Fax Number	:	562-420-7149

Provider Business Practice Location Address
First Line	:	4433 E VILLAGE RD STE I
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90808-1505
Country	:	US
Telephone Number	:	562-239-2281
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2014
Last Update Date	:	09/10/2014

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