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NPI Code Detail

MEDICARE: ELIZABETH ANNE WRIGHT LMFT

MEDICARE:   ELIZABETH ANNE WRIGHT  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
1106H00000XMarriage & Family Therapist95719CA

General Provider Information

NPI Number : 1104375583
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ANNE WRIGHT LMFT
Provider Business Mailing Address
First Line : 2140 SHATTUCK AVE STE 804805
Second Line :
City : BERKELEY
State : CA
Zip : 94704-1210
Country : US
Telephone Number : 510-373-2723
Fax Number :
Provider Business Practice Location Address
First Line : 2140 SHATTUCK AVE STE 804805
Second Line :
City : BERKELEY
State : CA
Zip : 94704-1210
Country : US
Telephone Number : 510-373-2723
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2016
Last Update Date : 06/30/2023

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Directions to “ ELIZABETH ANNE WRIGHT LMFT” Practice Location

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