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NPI Code Detail

MEDICARE: MISS ELIZABETH MARIE HARTMAN LMFT

MEDICARE:  MISS ELIZABETH MARIE HARTMAN  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 TherapistMFC38870CA

General Provider Information

NPI Number : 1205128626
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ELIZABETH MARIE HARTMAN LMFT
Provider Business Mailing Address
First Line : PO BOX 371
Second Line :
City : MORRO BAY
State : CA
Zip : 93443-0371
Country : US
Telephone Number : 805-234-4130
Fax Number :
Provider Business Practice Location Address
First Line : 1229 HIGUERA ST FL 1
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401-3169
Country : US
Telephone Number : 805-234-4130
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2011
Last Update Date : 07/21/2022

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Directions to “ MISS ELIZABETH MARIE HARTMAN LMFT” Practice Location

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