MEDICARE: MISS BARBARA LYNN RAPPAPORT B.A.

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	130673	CA

General Provider Information

NPI Number	:	1346368008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS BARBARA LYNN RAPPAPORT B.A.

Provider Business Mailing Address
First Line	:	13340 BESSEMER ST
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91401-3005
Country	:	US
Telephone Number	:	818-512-9998
Fax Number	:

Provider Business Practice Location Address
First Line	:	679 S NEW HAMPSHIRE AVE FL 400
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90005-1355
Country	:	US
Telephone Number	:	213-639-0225
Fax Number	:

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

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	02/28/2022

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