MEDICARE: KATHRYN MAGNANI 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
1	106H00000X	Marriage & Family Therapist	115459	CA

General Provider Information

NPI Number	:	1275177537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN MAGNANI LMFT

Provider Business Mailing Address
First Line	:	43 SAN ROSSANO DR
Second Line	:
City	:	GOLETA
State	:	CA
Zip	:	93117-1912
Country	:	US
Telephone Number	:	425-830-4771
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 W FIGUEROA ST STE 300
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-3189
Country	:	US
Telephone Number	:	805-243-8171
Fax Number	:

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

Provider Enumeration Date	:	10/30/2019
Last Update Date	:	06/05/2021

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