MEDICARE: MS. NORMA GENE BARTHOLOMEW M.ED.

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	101YP2500X	Professional Counselor	19202	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134324890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NORMA GENE BARTHOLOMEW M.ED.

Provider Business Mailing Address
First Line	:	2908 ELSINOR DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-4763
Country	:	US
Telephone Number	:	817-496-9796
Fax Number	:	817-451-4104

Provider Business Practice Location Address
First Line	:	1160 COUNTRY CLUB LN
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112-2303
Country	:	US
Telephone Number	:	817-496-9796
Fax Number	:	817-451-4104

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

Provider Enumeration Date	:	06/20/2007
Last Update Date	:	07/09/2007

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