Provider Demographics
NPI:1144489220
Name:RICHMAN, NAOMI BICK (MFT)
Entity type:Individual
Prefix:MS
First Name:NAOMI
Middle Name:BICK
Last Name:RICHMAN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 KEOKUK ST
Mailing Address - Street 2:
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94952-2738
Mailing Address - Country:US
Mailing Address - Phone:707-762-5086
Mailing Address - Fax:707-765-9210
Practice Address - Street 1:222 WELLER ST
Practice Address - Street 2:STE. 201
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94952-3136
Practice Address - Country:US
Practice Address - Phone:707-762-5086
Practice Address - Fax:707-765-9210
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-04
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 8763106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist