MEDICARE: CLAUDE CHRISTIANE DELAUBERT CLAUDE DELAUBERT

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
1	106H00000X	Marriage & Family Therapist	MFC34835	CA

General Provider Information

NPI Number	:	1235200379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDE CHRISTIANE DELAUBERT CLAUDE DELAUBERT

Provider Business Mailing Address
First Line	:	6355 TELEGRAPH AVE STE 309
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94609-1375
Country	:	US
Telephone Number	:	501-594-6800
Fax Number	:	510-533-5968

Provider Business Practice Location Address
First Line	:	6355 TELEGRAPH AVE STE 309
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94609-1375
Country	:	US
Telephone Number	:	501-594-6800
Fax Number	:	510-533-5968

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/12/2006
Last Update Date	:	07/08/2007

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