MEDICARE: MRS. PATRICIA MARIE BRINGEL M.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	MFC38597	CA

General Provider Information

NPI Number	:	1437325297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PATRICIA MARIE BRINGEL M.A.

Provider Business Mailing Address
First Line	:	725 SAINT GEORGE RD
Second Line	:
City	:	DANVILLE
State	:	CA
Zip	:	94526-6233
Country	:	US
Telephone Number	:	925-899-7002
Fax Number	:	925-743-0567

Provider Business Practice Location Address
First Line	:	2819 CROW CANYON RD
Second Line	:	219A
City	:	SAN RAMON
State	:	CA
Zip	:	94583-1655
Country	:	US
Telephone Number	:	925-899-7002
Fax Number	:	925-743-0567

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

Provider Enumeration Date	:	05/01/2008
Last Update Date	:	05/01/2008

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