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NPI Code Detail

MEDICARE: ELIZABETH ANN MEREDITH HIBBARD AMFT

MEDICARE: ELIZABETH ANN MEREDITH HIBBARD AMFT
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 Therapist163496CA

General Provider Information

NPI Number : 1639002751
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ANN MEREDITH HIBBARD AMFT
Provider Business Mailing Address
First Line : 1011 N STATE ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90033-1332
Country : US
Telephone Number : 213-293-6961
Fax Number :
Provider Business Practice Location Address
First Line : 210 S ORANGE GROVE BLVD
Second Line :
City : PASADENA
State : CA
Zip : 91105-1705
Country : US
Telephone Number : 310-431-9459
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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Directions to “ ELIZABETH ANN MEREDITH HIBBARD AMFT” Practice Location

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