MEDICARE: MRS. PATRICIA ANN TRUE 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
1	106H00000X	Marriage & Family Therapist	31951	CA

General Provider Information

NPI Number	:	1720102130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PATRICIA ANN TRUE MFT

Provider Business Mailing Address
First Line	:	23903 LOVELL LN
Second Line	:
City	:	NEVADA CITY
State	:	CA
Zip	:	95959-8593
Country	:	US
Telephone Number	:	530-292-3265
Fax Number	:

Provider Business Practice Location Address
First Line	:	23903 LOVELL LN
Second Line	:
City	:	NEVADA CITY
State	:	CA
Zip	:	95959-8593
Country	:	US
Telephone Number	:	530-292-3265
Fax Number	:

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

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	07/08/2007

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