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NPI Code Detail

MEDICARE: MIRANDA BEATRICE FIELD M.A., M.F.T.

MEDICARE:   MIRANDA BEATRICE FIELD  M.A., M.F.T.
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 TherapistMFT22704CA

General Provider Information

NPI Number : 1245470525
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRANDA BEATRICE FIELD M.A., M.F.T.
Provider Business Mailing Address
First Line : 1531 CHAPALA ST
Second Line : SUITE 2
City : SANTA BARBARA
State : CA
Zip : 93101-3060
Country : US
Telephone Number : 805-568-0500
Fax Number :
Provider Business Practice Location Address
First Line : 1531 CHAPALA ST
Second Line : SUITE 2
City : SANTA BARBARA
State : CA
Zip : 93101-3060
Country : US
Telephone Number : 805-568-0500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2009
Last Update Date : 02/26/2009

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Directions to “ MIRANDA BEATRICE FIELD M.A., M.F.T.” Practice Location

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