Maria Teresa Biasiotto, MFT, RN

Individual provider Active NPI Marriage & Family Therapist · Lake Isabella, CA

NPI 1043403157 · NPPES record last updated Jan 24, 2011

Key facts

NPI
1043403157
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MFC 49116 (CA)
Practice address
2731 Nugget Ave
Lake Isabella, CA 93240
Phone
(760) 379-3412
NPI assigned
Aug 22, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
MFC 49116CAMDMarriage & Family Therapist
154844CAMDPsychiatric/Mental Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 154844 CA
Marriage & Family Therapist 106H00000X MFC 49116 CA Yes

Addresses

Primary practice location

2731 Nugget Ave
Lake Isabella, CA 93240

Mailing address

PO Box 2632
Lake Isabella, CA 93240
Phone (760) 379-3412

Other providers in Lake Isabella, CA

All providers in Lake Isabella, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.