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NPI Code Detail

MEDICARE: ISABELLA LONGERBEAM

MEDICARE:   ISABELLA  LONGERBEAM
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 Therapist

General Provider Information

NPI Number : 1174302525
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISABELLA LONGERBEAM
Provider Business Mailing Address
First Line : 2400 NE 95TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98115-2426
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2400 NE 95TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98115-2426
Country : US
Telephone Number : 925-297-7848
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2023
Last Update Date : 03/12/2026

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Directions to “ ISABELLA LONGERBEAM ” Practice Location

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