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NPI Code Detail

MEDICARE: MRS. NANCY L HABER M.A.

MEDICARE:  MRS. NANCY L HABER  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
1106H00000XMarriage & Family Therapist35818CA
2106H00000XMarriage & Family TherapistMFC 35818CA

General Provider Information

NPI Number : 1477620672
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NANCY L HABER M.A.
Provider Business Mailing Address
First Line : P.O. BOX 940414
Second Line :
City : SIMI VALLEY
State : CA
Zip : 93094
Country : US
Telephone Number : 805-657-3344
Fax Number :
Provider Business Practice Location Address
First Line : 123 HODENCAMP RD STE 100
Second Line :
City : THOUSAND OAKS
State : CA
Zip : 91360-5833
Country : US
Telephone Number : 805-579-7993
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2006
Last Update Date : 07/21/2022

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