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NPI Code Detail

MEDICARE: DR. XANDER ABRAMS PH.D

MEDICARE: DR. XANDER ABRAMS PH.D
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 TherapistMB23804CA

General Provider Information

NPI Number : 1174655625
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. XANDER ABRAMS PH.D
Provider Business Mailing Address
First Line : 700 FREDERICK ST STE 304
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95062-2239
Country : US
Telephone Number : 831-425-7067
Fax Number : 831-425-7067
Provider Business Practice Location Address
First Line : 700 FREDERICK ST STE 304
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95062-2239
Country : US
Telephone Number : 831-425-7067
Fax Number : 831-425-7067
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2007
Last Update Date : 07/08/2007

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Directions to “ DR. XANDER ABRAMS PH.D” Practice Location

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