MEDICARE: MRS. AMY PAULINE FIERRO 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
1	106H00000X	Marriage & Family Therapist	MFC37851	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114930336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY PAULINE FIERRO LMFT

Provider Business Mailing Address
First Line	:	5404 LAUREL HILLS DR
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95841-3106
Country	:	US
Telephone Number	:	916-609-4010
Fax Number	:	916-331-6252

Provider Business Practice Location Address
First Line	:	5404 LAUREL HILLS DR
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95841-3106
Country	:	US
Telephone Number	:	916-609-4010
Fax Number	:	916-331-6252

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	07/09/2007

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