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NPI Code Detail

MEDICARE: ISABELLA BACHTELLE LCSW

MEDICARE: ISABELLA BACHTELLE LCSW
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
11041C0700XClinical Social Worker117966CA
2104100000XSocial Worker97937CA

General Provider Information

NPI Number : 1518444272
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISABELLA BACHTELLE LCSW
Provider Business Mailing Address
First Line : PO BOX 25512
Second Line :
City : FRESNO
State : CA
Zip : 93729-5512
Country : US
Telephone Number : 209-559-6045
Fax Number :
Provider Business Practice Location Address
First Line : 303 N GLENOAKS BLVD STE 200
Second Line :
City : BURBANK
State : CA
Zip : 91502-1118
Country : US
Telephone Number : 209-559-6045
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2018
Last Update Date : 08/14/2024

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Directions to “ ISABELLA BACHTELLE LCSW” Practice Location

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