MEDICARE: MS. MARIAN BELL 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
1	106H00000X	Marriage & Family Therapist	MFC 32221	CA

General Provider Information

NPI Number	:	1447354584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARIAN BELL MFT

Provider Business Mailing Address
First Line	:	6721 QUARTZ MINE ROAD
Second Line	:
City	:	MOUNTAIN RANCH
State	:	CA
Zip	:	95246
Country	:	US
Telephone Number	:	209-754-4487
Fax Number	:

Provider Business Practice Location Address
First Line	:	891 MOUNTAIN RANCH RD
Second Line	:
City	:	SAN ANDREAS
State	:	CA
Zip	:	95249-9713
Country	:	US
Telephone Number	:	209-754-6525
Fax Number	:

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

Provider Enumeration Date	:	09/11/2006
Last Update Date	:	07/08/2007

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