Provider Demographics
NPI:1154943652
Name:BEUMER, PETRA (MA PSYCHOLOGY)
Entity type:Individual
Prefix:
First Name:PETRA
Middle Name:
Last Name:BEUMER
Suffix:
Gender:F
Credentials:MA PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:697 CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93108-1001
Mailing Address - Country:US
Mailing Address - Phone:805-722-7400
Mailing Address - Fax:
Practice Address - Street 1:697 CIRCLE DR
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93108-1001
Practice Address - Country:US
Practice Address - Phone:805-722-7400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-07
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor