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NPI Code Detail

MEDICARE: PHILLIP L YEE M.A. , LMFT

MEDICARE: PHILLIP L YEE M.A. , 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 Therapist129637CA

General Provider Information

NPI Number : 1679831432
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILLIP L YEE M.A. , LMFT
Provider Business Mailing Address
First Line : 7200 BANCROFT AVE STE 133
Second Line :
City : OAKLAND
State : CA
Zip : 94605-2480
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7200 BANCROFT AVE STE 133
Second Line :
City : OAKLAND
State : CA
Zip : 94605-2480
Country : US
Telephone Number : 510-418-5171
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2012
Last Update Date : 06/20/2023

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