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NPI Code Detail

MEDICARE: MISS MAYOLA L. R. PIERRO MFTI

MEDICARE: MISS MAYOLA L. R. PIERRO MFTI
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 TherapistIMF 85004CA
2171M00000XCase Manager/Care Coordinator
3106H00000XMarriage & Family Therapist125191CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770946386
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MAYOLA L. R. PIERRO MFTI
Provider Business Mailing Address
First Line : 2231 E PALMDALE BLVD STE K
Second Line :
City : PALMDALE
State : CA
Zip : 93550-1326
Country : US
Telephone Number : 661-824-5020
Fax Number : 661-824-5026
Provider Business Practice Location Address
First Line : 2231 E PALMDALE BLVD STE K
Second Line :
City : PALMDALE
State : CA
Zip : 93550-1326
Country : US
Telephone Number : 661-824-5020
Fax Number : 661-824-5026
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2016
Last Update Date : 01/17/2024

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