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NPI Code Detail

MEDICARE: TAYLOR CULBERTSON MA, LMFT

MEDICARE: TAYLOR CULBERTSON MA, 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
1106H00000XMarriage & Family Therapist84368CA

General Provider Information

NPI Number : 1508156779
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR CULBERTSON MA, LMFT
Provider Business Mailing Address
First Line : 1460 MARIA LN STE 300
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94596-5314
Country : US
Telephone Number : 612-743-1510
Fax Number :
Provider Business Practice Location Address
First Line : 1460 MARIA LN STE 300
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94596-5314
Country : US
Telephone Number : 612-743-1510
Fax Number : 612-743-1510
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2011
Last Update Date : 11/23/2022

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