MEDICARE: MS. KARYL BECHTOLD SEARS PHD

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	103T00000X	Psychologist	PSY12158	CA
2	103T00000X	Psychologist	PS891	ME
3	106H00000X	Marriage & Family Therapist	MFC14285	CA

General Provider Information

NPI Number	:	1649264821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KARYL BECHTOLD SEARS PHD

Provider Business Mailing Address
First Line	:	1049 CAMINO DEL MAR
Second Line	:	#3
City	:	DEL MAR
State	:	CA
Zip	:	92014-2658
Country	:	US
Telephone Number	:	858-259-9962
Fax Number	:	858-792-5162

Provider Business Practice Location Address
First Line	:	1049 CAMINO DEL MAR
Second Line	:	#3
City	:	DEL MAR
State	:	CA
Zip	:	92014-2658
Country	:	US
Telephone Number	:	858-259-9962
Fax Number	:	858-792-5162

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

Provider Enumeration Date	:	09/02/2005
Last Update Date	:	09/30/2008

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