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NPI Code Detail

MEDICARE: TAMAR BRANDEIS LMFT

MEDICARE:   TAMAR  BRANDEIS  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 Therapist52206CA

General Provider Information

NPI Number : 1154662674
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMAR BRANDEIS LMFT
Provider Business Mailing Address
First Line : 3801 E WILLOW ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90815-1734
Country : US
Telephone Number : 562-427-7916
Fax Number :
Provider Business Practice Location Address
First Line : 3801 E WILLOW ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90815-1734
Country : US
Telephone Number : 562-427-7916
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2013
Last Update Date : 03/19/2026

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Directions to “ TAMAR BRANDEIS LMFT” Practice Location

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