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NPI Code Detail

MEDICARE: MS. CAROLE H. FIELD M.F.T

MEDICARE:  MS. CAROLE H. FIELD  M.F.T
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 TherapistMFC23922CA

General Provider Information

NPI Number : 1023038262
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAROLE H. FIELD M.F.T
Provider Business Mailing Address
First Line : 6510 GEYSER AVE.
Second Line :
City : RESEDA
State : CA
Zip : 91335-6012
Country : US
Telephone Number : 818-342-3960
Fax Number : 818-342-3982
Provider Business Practice Location Address
First Line : 1717 W. MAGNOLIA BLVD.
Second Line : SUITE 102
City : BURBANK
State : CA
Zip : 91506-1839
Country : US
Telephone Number : 323-964-2247
Fax Number : 818-342-3982
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 07/08/2007

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Directions to “ MS. CAROLE H. FIELD M.F.T” Practice Location

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