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NPI Code Detail

MEDICARE: MS. PAULETTE MAE SOLBERG MFT 23341

MEDICARE: MS. PAULETTE MAE SOLBERG MFT 23341
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
1106H00000XMarriage & Family TherapistMFC 23341CA

General Provider Information

NPI Number : 1194992057
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PAULETTE MAE SOLBERG MFT 23341
Provider Business Mailing Address
First Line : 5240 JACKSON ST
Second Line :
City : NORTH HIGHLANDS
State : CA
Zip : 95660-5003
Country : US
Telephone Number : 916-338-1001
Fax Number : 916-338-1044
Provider Business Practice Location Address
First Line : 5240 JACKSON ST
Second Line :
City : NORTH HIGHLANDS
State : CA
Zip : 95660-5003
Country : US
Telephone Number : 916-338-1001
Fax Number : 916-338-1044
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2008
Last Update Date : 11/07/2008

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