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NPI Code Detail

MEDICARE: DR. BARBARA MARIE THOMAS PSY.D.

MEDICARE: DR. BARBARA MARIE THOMAS PSY.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 TherapistLMFT # 45794CA

General Provider Information

NPI Number : 1295061000
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARBARA MARIE THOMAS PSY.D.
Provider Business Mailing Address
First Line : 2249 AVENIDA OLIVA
Second Line :
City : SAN CLEMENTE
State : CA
Zip : 92673-5635
Country : US
Telephone Number : 949-492-1771
Fax Number :
Provider Business Practice Location Address
First Line : 2249 AVENIDA OLIVA
Second Line :
City : SAN CLEMENTE
State : CA
Zip : 92673-5635
Country : US
Telephone Number : 949-492-1771
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2009
Last Update Date : 10/29/2009

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