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NPI Code Detail

MEDICARE: BRIGITTE MERRELL MFT

MEDICARE: BRIGITTE MERRELL MFT
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 TherapistMFT36520CA

General Provider Information

NPI Number : 1619265014
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIGITTE MERRELL MFT
Provider Business Mailing Address
First Line : 2577 SAN PABLO AVE STE 200
Second Line :
City : OAKLAND
State : CA
Zip : 94612-1159
Country : US
Telephone Number : 510-508-6643
Fax Number :
Provider Business Practice Location Address
First Line : 150 HARBOUR WAY STE 200
Second Line :
City : RICHMOND
State : CA
Zip : 94801-3554
Country : US
Telephone Number : 510-508-6643
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2011
Last Update Date : 02/23/2021

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Directions to “ BRIGITTE MERRELL MFT” Practice Location

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