MEDICARE: REBECCA L ANDERSON 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
1	106H00000X	Marriage & Family Therapist	0327	NV

General Provider Information

NPI Number	:	1720286677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA L ANDERSON M.F.T.

Provider Business Mailing Address
First Line	:	5365 MAE ANNE AVE
Second Line	:	SUITE B-10
City	:	RENO
State	:	NV
Zip	:	89523-1840
Country	:	US
Telephone Number	:	775-746-6344
Fax Number	:	775-747-7731

Provider Business Practice Location Address
First Line	:	5365 MAE ANNE AVE
Second Line	:	SUITE B-10
City	:	RENO
State	:	NV
Zip	:	89523-1840
Country	:	US
Telephone Number	:	775-746-6344
Fax Number	:	775-747-7731

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

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

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