MEDICARE: MRS. BETHANY LYNN NOBLE-LINDSAY M.A.

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	85089	CA

General Provider Information

NPI Number	:	1932496460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BETHANY LYNN NOBLE-LINDSAY M.A.

Provider Business Mailing Address
First Line	:	4625 MUNROE ST
Second Line	:
City	:	LA MESA
State	:	CA
Zip	:	91942-8824
Country	:	US
Telephone Number	:	619-403-9143
Fax Number	:

Provider Business Practice Location Address
First Line	:	2831 CAMINO DEL RIO S
Second Line	:	SUITE 201
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3802
Country	:	US
Telephone Number	:	619-403-9143
Fax Number	:

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

Provider Enumeration Date	:	07/05/2011
Last Update Date	:	02/02/2015

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