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NPI Code Detail

MEDICARE: MS. SYLVIA KRIMSLEY M.F.T.

MEDICARE: MS. SYLVIA KRIMSLEY M.F.T.
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 TherapistMFC6324CA

General Provider Information

NPI Number : 1720080880
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SYLVIA KRIMSLEY M.F.T.
Provider Business Mailing Address
First Line : 343 GROVE ACRE AVE
Second Line :
City : PACIFIC GROVE
State : CA
Zip : 93950-3806
Country : US
Telephone Number : 831-372-2001
Fax Number : 831-372-2001
Provider Business Practice Location Address
First Line : 210 17TH ST
Second Line : STE 8
City : PACIFIC GROVE
State : CA
Zip : 93950-3354
Country : US
Telephone Number : 831-372-2001
Fax Number : 831-372-2001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2005
Last Update Date : 07/08/2007

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