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NPI Code Detail

MEDICARE: MRS. MASAKO GUTHRIE LMFT

MEDICARE:  MRS. MASAKO  GUTHRIE  LMFT
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 Therapist43333CA

General Provider Information

NPI Number : 1417229717
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MASAKO GUTHRIE LMFT
Provider Business Mailing Address
First Line : 3041 TREMONT ST
Second Line :
City : BERKELEY
State : CA
Zip : 94703-2549
Country : US
Telephone Number : 510-665-4118
Fax Number : 510-548-4119
Provider Business Practice Location Address
First Line : 3041 TREMONT ST
Second Line :
City : BERKELEY
State : CA
Zip : 94703-2549
Country : US
Telephone Number : 510-665-4118
Fax Number : 510-548-4119
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2012
Last Update Date : 02/01/2012

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Directions to “ MRS. MASAKO GUTHRIE LMFT” Practice Location

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