Healthcare Provider Details

I. General information

NPI: 1487700324
Provider Name (Legal Business Name): SUSAN A BILOW MA, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SUSAN STELLA ALDRICH

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 05/12/2023
Certification Date: 05/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23920 TIMBERLINE WAY
TEHACHAPI CA
93561-8582
US

IV. Provider business mailing address

23920 TIMBERLINE WAY
TEHACHAPI CA
93561-8582
US

V. Phone/Fax

Practice location:
  • Phone: 661-917-1909
  • Fax: 661-821-7007
Mailing address:
  • Phone: 661-917-1909
  • Fax: 661-821-7007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT253322
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC 25332
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: