MEDICARE: MR. MICHAEL FRANKLIN ELDER 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	MFC34896	CA
2	106H00000X	Marriage & Family Therapist	LF 60169631	WA

General Provider Information

NPI Number	:	1134260839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL FRANKLIN ELDER LMFT

Provider Business Mailing Address
First Line	:	50 LAKSHMI RD.
Second Line	:
City	:	OLGA
State	:	WA
Zip	:	98279-3400
Country	:	US
Telephone Number	:	360-376-3255
Fax Number	:

Provider Business Practice Location Address
First Line	:	109 N BEACH RD
Second Line	:
City	:	EASTSOUND
State	:	WA
Zip	:	98245-8205
Country	:	US
Telephone Number	:	360-376-3255
Fax Number	:

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

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	07/08/2014

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