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NPI Code Detail

MEDICARE: MRS. MARILYN ELIZABETH SAULSBURY LMFT

MEDICARE:  MRS. MARILYN ELIZABETH SAULSBURY  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
1101YM0800XMental Health CounselorMFC37810CA

General Provider Information

NPI Number : 1184770182
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARILYN ELIZABETH SAULSBURY LMFT
Provider Business Mailing Address
First Line : 2956 SHASTA RD
Second Line :
City : BERKELEY
State : CA
Zip : 94708-2142
Country : US
Telephone Number : 510-848-6274
Fax Number : 510-848-6274
Provider Business Practice Location Address
First Line : 1715 SOLANO AVE
Second Line : SUITE A
City : BERKELEY
State : CA
Zip : 94707-2220
Country : US
Telephone Number : 510-703-6348
Fax Number : 510-848-6274
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. MARILYN ELIZABETH SAULSBURY LMFT” Practice Location

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