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NPI Code Detail

MEDICARE: TANYA KAUR GILL MA

MEDICARE: TANYA KAUR GILL MA
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 TherapistCA

General Provider Information

NPI Number : 1598382202
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANYA KAUR GILL MA
Provider Business Mailing Address
First Line : PO BOX 570428
Second Line :
City : TARZANA
State : CA
Zip : 91357-0428
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12501 CHANDLER BLVD STE 102
Second Line :
City : VALLEY VILLAGE
State : CA
Zip : 91607-1955
Country : US
Telephone Number : 818-821-6012
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2020
Last Update Date : 06/29/2020

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Directions to “ TANYA KAUR GILL MA” Practice Location

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