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NPI Code Detail

MEDICARE: KATHRYN ROSE BLOCK LMFT

MEDICARE: KATHRYN ROSE BLOCK 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 Therapist

General Provider Information

NPI Number : 1437280328
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN ROSE BLOCK LMFT
Provider Business Mailing Address
First Line : 321 WOODCREST LN
Second Line :
City : FALLBROOK
State : CA
Zip : 92028-2949
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8910 CLAIREMONT MESA BLVD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-1104
Country : US
Telephone Number : 858-514-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2007
Last Update Date : 02/20/2014

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Directions to “ KATHRYN ROSE BLOCK LMFT” Practice Location

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