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NPI Code Detail

MEDICARE: MS. BARBARA DIANE EASTERWOOD MFT, CAD, CTS

MEDICARE:  MS. BARBARA DIANE EASTERWOOD  MFT, CAD, CTS
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 Therapist0864NV

General Provider Information

NPI Number : 1477516185
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BARBARA DIANE EASTERWOOD MFT, CAD, CTS
Provider Business Mailing Address
First Line : 10408 TURNING LEAF AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-8108
Country : US
Telephone Number : 702-451-4512
Fax Number :
Provider Business Practice Location Address
First Line : 9402 W LAKE MEAD BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-8312
Country : US
Telephone Number : 702-947-4750
Fax Number : 702-947-4751
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2006
Last Update Date : 07/08/2007

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Directions to “ MS. BARBARA DIANE EASTERWOOD MFT, CAD, CTS” Practice Location

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