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NPI Code Detail

MEDICARE: MRS. LINNEA TOBIAS M.S.

MEDICARE:  MRS. LINNEA  TOBIAS  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
1106H00000XMarriage & Family Therapist636CO
2106H00000XMarriage & Family Therapist054WY

General Provider Information

NPI Number : 1568739688
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINNEA TOBIAS M.S.
Provider Business Mailing Address
First Line : 1606 LAKE AVE
Second Line :
City : PUEBLO
State : CO
Zip : 81004-3343
Country : US
Telephone Number : 719-568-7319
Fax Number :
Provider Business Practice Location Address
First Line : 1606 LAKE AVE
Second Line :
City : PUEBLO
State : CO
Zip : 81004-3343
Country : US
Telephone Number : 719-568-7319
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2011
Last Update Date : 11/17/2011

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Directions to “ MRS. LINNEA TOBIAS M.S.” Practice Location

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