MEDICARE: MS. ANN RUTLEDGE BRITT MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFT16761	CA

General Provider Information

NPI Number	:	1104851583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANN RUTLEDGE BRITT MA

Provider Business Mailing Address
First Line	:	5228 IRVINE AVE
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-3004
Country	:	US
Telephone Number	:	818-761-4760
Fax Number	:	818-487-9361

Provider Business Practice Location Address
First Line	:	11240 MAGNOLIA BLVD
Second Line	:	SUITE 101
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-3790
Country	:	US
Telephone Number	:	818-761-4760
Fax Number	:	818-487-9361

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	07/08/2007

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