Larry L Brashaw, MFT I
Individual provider Active NPI Marriage & Family Therapist · Oroville, CA
NPI 1164580502 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164580502
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFTI 48878 (CA)
- Practice address
- 2858 Olive Highway
Suites a, B, & C
Oroville, CA 95966 - Phone
- (530) 538-2158
- Fax
- (530) 533-7188
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFTI 48878 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFTI 48878 | CA | Yes |
Addresses
Primary practice location
2858 Olive Highway
Suites a, B, & C
Oroville, CA 95966
Mailing address
PO Box 474
Forest Ranch, CA 95942
Phone (530) 892-1417
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48878 | Other | CA | IMF |
Other providers in Oroville, CA
- Jody Lee Brabham
- Steven Justin Bradley
- Brittnee Lynn Bragg
- Brigitte Branker
- Nikhraj Brar
- Brent E Parrott DDS Inc
- Cullen Irene Breuer-Harberts
- Tanya May Brewer
- Nicole Erin Briggs
- Melissa Renee Brinar
All providers in Oroville, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.