MEDICARE: MONICA ANN HYLBERT LMFT, ATR

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	120138	CA
2	221700000X	Art Therapist	93-148

General Provider Information

NPI Number	:	1134702137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA ANN HYLBERT LMFT, ATR

Provider Business Mailing Address
First Line	:	PO BOX 1066
Second Line	:
City	:	LOS GATOS
State	:	CA
Zip	:	95031-1066
Country	:	US
Telephone Number	:	408-761-1632
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 SPRING ST
Second Line	:
City	:	LOS GATOS
State	:	CA
Zip	:	95030-6210
Country	:	US
Telephone Number	:	408-890-7501
Fax Number	:

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

Provider Enumeration Date	:	04/28/2021
Last Update Date	:	04/28/2021

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