MEDICARE: CATHERINE BISCHOFF 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
1	106H00000X	Marriage & Family Therapist	MFC25334	CA

General Provider Information

NPI Number	:	1720311434
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE BISCHOFF LMFT

Provider Business Mailing Address
First Line	:	2000 GOLDEN RAIN RD APT 3
Second Line	:
City	:	WALNUT CREEK
State	:	CA
Zip	:	94595-1918
Country	:	US
Telephone Number	:	925-933-3944
Fax Number	:	925-942-0757

Provider Business Practice Location Address
First Line	:	3184 OLD TUNNEL RD STE B
Second Line	:
City	:	LAFAYETTE
State	:	CA
Zip	:	94549-4153
Country	:	US
Telephone Number	:	925-262-0732
Fax Number	:

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

Provider Enumeration Date	:	09/13/2009
Last Update Date	:	09/13/2009

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