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NPI Code Detail

MEDICARE: MRS. AMBER LYNN TOMCZAK M.A.

MEDICARE:  MRS. AMBER LYNN TOMCZAK  M.A.
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 Therapist84010CA
2106H00000XMarriage & Family Therapist69768CA
3106H00000XMarriage & Family Therapist8154ID

General Provider Information

NPI Number : 1154672442
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMBER LYNN TOMCZAK M.A.
Provider Business Mailing Address
First Line : 3574 N ADAMS ST
Second Line :
City : GARDEN CITY
State : ID
Zip : 83714-1706
Country : US
Telephone Number : 760-694-6329
Fax Number :
Provider Business Practice Location Address
First Line : 17800 US HIGHWAY 18
Second Line :
City : APPLE VALLEY
State : CA
Zip : 92307-1221
Country : US
Telephone Number : 760-242-6336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2012
Last Update Date : 03/18/2026

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Directions to “ MRS. AMBER LYNN TOMCZAK M.A.” Practice Location

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