MEDICARE: BUNNIE S SAATHOFF LPC,LMFT

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	10530	TX

General Provider Information

NPI Number	:	1851508311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BUNNIE S SAATHOFF LPC,LMFT

Provider Business Mailing Address
First Line	:	417 CIRCLE ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-4634
Country	:	US
Telephone Number	:	210-804-0376
Fax Number	:

Provider Business Practice Location Address
First Line	:	417 CIRCLE ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-4634
Country	:	US
Telephone Number	:	210-804-0376
Fax Number	:

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

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	07/08/2007

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