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NPI Code Detail

MEDICARE: MRS. CATHERINE DENISE STEVERSON-BUSH M.A.

MEDICARE: MRS. CATHERINE DENISE STEVERSON-BUSH M.A.
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 TherapistMFC47974CA

General Provider Information

NPI Number : 1902004880
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CATHERINE DENISE STEVERSON-BUSH M.A.
Provider Business Mailing Address
First Line : 3632 CLAYTON RD
Second Line : NO. 201
City : CONCORD
State : CA
Zip : 94521-5186
Country : US
Telephone Number : 925-825-2764
Fax Number : 925-825-2764
Provider Business Practice Location Address
First Line : 111 MYRTLE ST
Second Line : SUITE 102
City : OAKLAND
State : CA
Zip : 94607-2525
Country : US
Telephone Number : 510-839-3800
Fax Number : 510-839-3888
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2007
Last Update Date : 07/26/2010

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