MEDICARE: TSB HEALTH INC

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	MFC9160	CA
2	106H00000X	Marriage & Family Therapist	MFC32056	CA

General Provider Information

NPI Number	:	1083984272
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TSB HEALTH INC

Provider Business Mailing Address
First Line	:	11858 BERNARDO PLAZA CT
Second Line	:	STE 210
City	:	SAN DIEGO
State	:	CA
Zip	:	92128-2439
Country	:	US
Telephone Number	:	858-592-1460
Fax Number	:	858-592-1460

Provider Business Practice Location Address
First Line	:	11858 BERNARDO PLAZA CT
Second Line	:	STE 210
City	:	SAN DIEGO
State	:	CA
Zip	:	92128-2439
Country	:	US
Telephone Number	:	858-592-1460
Fax Number	:	858-592-1460

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. SUSAN TERESA BELL
Credential	:	MA, MFT
Telephone Number	:	858-735-2794

Provider Enumeration Date	:	01/05/2012
Last Update Date	:	01/05/2012

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Directions to “TSB HEALTH INC ” Practice Location

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