MEDICARE: MARIE CECILE BISHOP AMFT

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	390200000X	Student in an Organized Health Care Education/Training Program	160326	CA
2	101YM0800X	Mental Health Counselor
3	106H00000X	Marriage & Family Therapist	160326	CA

General Provider Information

NPI Number	:	1336573161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIE CECILE BISHOP AMFT

Provider Business Mailing Address
First Line	:	4528 FABRIANO PL
Second Line	:
City	:	DUBLIN
State	:	CA
Zip	:	94568-4403
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4528 FABRIANO PL
Second Line	:
City	:	DUBLIN
State	:	CA
Zip	:	94568-4403
Country	:	US
Telephone Number	:	916-606-2743
Fax Number	:

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

Provider Enumeration Date	:	08/28/2013
Last Update Date	:	01/22/2026

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