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NPI Code Detail

MEDICARE: MS. BERNADETTE MARGARET HOTZE

MEDICARE: MS. BERNADETTE MARGARET HOTZE
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
1101YM0800XMental Health CounselorIMFT 45367CA

General Provider Information

NPI Number : 1326238908
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BERNADETTE MARGARET HOTZE
Provider Business Mailing Address
First Line : 1124 INTERNATIONAL BLVD
Second Line :
City : OAKLAND
State : CA
Zip : 94606-4331
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1124 INTERNATIONAL BLVD
Second Line :
City : OAKLAND
State : CA
Zip : 94606-4331
Country : US
Telephone Number : 510-533-0800
Fax Number : 510-533-0300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2007
Last Update Date : 07/30/2007

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