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NPI Code Detail

MEDICARE: MS. TENA KAYE MADRID MFT

MEDICARE:  MS. TENA KAYE MADRID  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
1106H00000XMarriage & Family Therapist41075CA

General Provider Information

NPI Number : 1992730428
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TENA KAYE MADRID MFT
Provider Business Mailing Address
First Line : 1151 DOVE ST
Second Line : #113
City : NEWPORT BEACH
State : CA
Zip : 92660-2840
Country : US
Telephone Number : 714-624-1344
Fax Number : 714-536-3772
Provider Business Practice Location Address
First Line : 1151 DOVE ST
Second Line : #113
City : NEWPORT BEACH
State : CA
Zip : 92660-2840
Country : US
Telephone Number : 714-624-1344
Fax Number : 714-536-3772
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 07/08/2007

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Directions to “ MS. TENA KAYE MADRID MFT” Practice Location

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