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NPI Code Detail

MEDICARE: BRITTA RANDLEV

MEDICARE: BRITTA RANDLEV
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 Therapist

General Provider Information

NPI Number : 1093121576
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTA RANDLEV
Provider Business Mailing Address
First Line : 560 OAKLAND AVENUE, STE. C.
Second Line :
City : OAKLAND
State : CA
Zip : 94612-3811
Country : US
Telephone Number : 510-601-1929
Fax Number :
Provider Business Practice Location Address
First Line : 560 OAKLAND AVENUE, STE. C.
Second Line :
City : OAKLAND
State : CA
Zip : 94612-3811
Country : US
Telephone Number : 510-601-1929
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2014
Last Update Date : 07/07/2014

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Directions to “ BRITTA RANDLEV ” Practice Location

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