MEDICARE: MS. NORBERTAMARIE VERONICA BOBE-KOLLMEYER M.S.

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1417129578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NORBERTAMARIE VERONICA BOBE-KOLLMEYER M.S.

Provider Business Mailing Address
First Line	:	23035 MADISON ST APT 26
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90505-3909
Country	:	US
Telephone Number	:	310-514-7850
Fax Number	:

Provider Business Practice Location Address
First Line	:	901 N PACIFIC COAST HWY
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90277-2162
Country	:	US
Telephone Number	:	310-316-1610
Fax Number	:

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

Provider Enumeration Date	:	03/29/2008
Last Update Date	:	08/03/2011

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