MEDICARE: NATALIA BARDSLEY

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	98254	CA

General Provider Information

NPI Number	:	1568875367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIA BARDSLEY

Provider Business Mailing Address
First Line	:	116 INVERNESS DR E STE 105
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80112-5125
Country	:	US
Telephone Number	:	303-730-8858
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 DOUGLAS ST
Second Line	:
City	:	PETALUMA
State	:	CA
Zip	:	94952-2567
Country	:	US
Telephone Number	:	707-778-4813
Fax Number	:

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

Provider Enumeration Date	:	06/09/2014
Last Update Date	:	11/14/2022

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Directions to “ NATALIA BARDSLEY ” Practice Location

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