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NPI Code Detail

MEDICARE: MRS. MARIE SCANNELL

MEDICARE:  MRS. MARIE  SCANNELL
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 TherapistMFC22946CA

General Provider Information

NPI Number : 1295932994
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIE SCANNELL
Provider Business Mailing Address
First Line : 2827 CONCORD BLVD
Second Line :
City : CONCORD
State : CA
Zip : 94519-2608
Country : US
Telephone Number : 925-685-9670
Fax Number :
Provider Business Practice Location Address
First Line : 2827 CONCORD BLVD
Second Line :
City : CONCORD
State : CA
Zip : 94519-2608
Country : US
Telephone Number : 925-685-9670
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. MARIE SCANNELL ” Practice Location

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