Provider Demographics
NPI:1407363104
Name:STUDEBAKER, AUBREY (LMFT)
Entity type:Individual
Prefix:
First Name:AUBREY
Middle Name:
Last Name:STUDEBAKER
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 1:3950 LONG BEACH BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-5410
Mailing Address - Country:US
Mailing Address - Phone:424-268-0799
Mailing Address - Fax:
Practice Address - Street 1:3950 LONG BEACH BLVD STE 101
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-5410
Practice Address - Country:US
Practice Address - Phone:424-268-0799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-03
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT110502106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist