MEDICARE: KATIE ROSE SHIEH 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	106H00000X	Marriage & Family Therapist	156183	CA

General Provider Information

NPI Number	:	1346123049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE ROSE SHIEH AMFT

Provider Business Mailing Address
First Line	:	PO BOX 11213
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95406-1213
Country	:	US
Telephone Number	:	707-758-9439
Fax Number	:

Provider Business Practice Location Address
First Line	:	41111 MISSION BLVD
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94539-3922
Country	:	US
Telephone Number	:	408-320-5960
Fax Number	:

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

Provider Enumeration Date	:	07/29/2025
Last Update Date	:	07/29/2025

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Directions to “ KATIE ROSE SHIEH AMFT” Practice Location

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