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NPI Code Detail

MEDICARE: MS. JOYCE ELAINE THOMSON MFT

MEDICARE: MS. JOYCE ELAINE THOMSON MFT
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 TherapistMFT37969CA

General Provider Information

NPI Number : 1376622555
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JOYCE ELAINE THOMSON MFT
Provider Business Mailing Address
First Line : 625 MILLER AVE
Second Line :
City : MILL VALLEY
State : CA
Zip : 94941
Country : US
Telephone Number : 415-384-0953
Fax Number :
Provider Business Practice Location Address
First Line : 15 AUSTIN AVE
Second Line :
City : SAN ANSELMO
State : CA
Zip : 94960-2924
Country : US
Telephone Number : 415-384-0953
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2006
Last Update Date : 02/03/2012

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