MEDICARE: JAMES L BIXLER 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	675	CO

General Provider Information

NPI Number	:	1013177989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES L BIXLER LMFT

Provider Business Mailing Address
First Line	:	3265 MONTEBELLO DR W
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-2230
Country	:	US
Telephone Number	:	719-210-9744
Fax Number	:	888-619-0027

Provider Business Practice Location Address
First Line	:	3110 BOYCHUCK AVE
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80910-1026
Country	:	US
Telephone Number	:	719-210-9744
Fax Number	:	888-619-0027

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

Provider Enumeration Date	:	06/13/2008
Last Update Date	:	06/13/2008

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