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NPI Code Detail

MEDICARE: PAULINE ANNE BISHOP MFT

MEDICARE: PAULINE ANNE BISHOP 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 TherapistMFC42243CA

General Provider Information

NPI Number : 1407936255
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULINE ANNE BISHOP MFT
Provider Business Mailing Address
First Line : PO BOX 2723
Second Line :
City : SANTA MARIA
State : CA
Zip : 93457-2723
Country : US
Telephone Number : 805-937-7575
Fax Number : 805-934-6667
Provider Business Practice Location Address
First Line : 301 EAST COOK STREET SUITE B
Second Line :
City : SANTA MARIA
State : CA
Zip : 93454-5133
Country : US
Telephone Number : 805-937-7575
Fax Number : 805-934-6667
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2006
Last Update Date : 07/08/2007

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Directions to “ PAULINE ANNE BISHOP MFT” Practice Location

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