MEDICARE: MICHAL Y. BICK LMFT

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

General Provider Information

NPI Number	:	1487247144
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAL Y. BICK LMFT

Provider Business Mailing Address
First Line	:	8306 WILSHIRE BLVD # 375
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-2304
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8549 WILSHIRE BLVD
Second Line	:	#2228
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211
Country	:	US
Telephone Number	:	424-442-0775
Fax Number	:

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

Provider Enumeration Date	:	02/14/2021
Last Update Date	:	02/24/2023

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