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NPI Code Detail

MEDICARE: MS. KAREN SHIPLEY MFT

MEDICARE: MS. KAREN SHIPLEY MFT
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 TherapistMFC30213CA

General Provider Information

NPI Number : 1033349683
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAREN SHIPLEY MFT
Provider Business Mailing Address
First Line : 11289 TERRA VISTA PKWY
Second Line : UNIT A
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-7420
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10001 COUNTY FARM RD
Second Line :
City : RIVERSIDE
State : CA
Zip : 92503-3507
Country : US
Telephone Number : 951-343-2536
Fax Number : 951-729-3309
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2009
Last Update Date : 07/16/2009

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Directions to “ MS. KAREN SHIPLEY MFT” Practice Location

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