Provider Demographics
NPI:1245646017
Name:BECK, CYNTHIA (LMFT)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:BECK
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 E MAIN ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:SANTA PAULA
Mailing Address - State:CA
Mailing Address - Zip Code:93060-2748
Mailing Address - Country:US
Mailing Address - Phone:805-933-8480
Mailing Address - Fax:805-933-2614
Practice Address - Street 1:725 E MAIN ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:SANTA PAULA
Practice Address - State:CA
Practice Address - Zip Code:93060-2748
Practice Address - Country:US
Practice Address - Phone:805-933-8480
Practice Address - Fax:805-933-2614
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-01
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA119627106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
56CCOtherASPIRA