| Doctor Name: | MRS. KATHY BECKERMAN |
| NPI Number: | 1255408969 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMFT |
| License Number: | MFT28903 |
| Business Practice Address: | 820 Bay Ave. #208e Capitola, CA - 95073 |
| Business Phone Number: | 8314756176 |
| Business Fax Number: | 8314649436 |
| Mailing Address: | 820 Bay Ave., #208e CAPITOLA |
| State: | CA |
| Postal Code: | 95073 |
| Phone Number: | 8314756176 |
| Fax Number: | 8314649436 |
| NPI Enumeration Date: | 11/29/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MFT28903 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |