Magdalena Martinez Bauman, LMFT
Individual provider Active NPI Marriage & Family Therapist · Sonora, CA
NPI 1295033504 · NPPES record last updated Jun 21, 2019
Key facts
- NPI
- 1295033504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 95512 (CA)
- Practice address
- 175 Fairview LN.
Sonora, CA 95370 - Phone
- (209) 536-2092
- NPI assigned
- Mar 10, 2011
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95512 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 66377 | CA | |
| Marriage & Family Therapist | 106H00000X | 95512 | CA | Yes |
Addresses
Primary practice location
175 Fairview LN.
Sonora, CA 95370
Mailing address
175 Fairview LN.
Sonora, CA 95370
Phone (209) 536-2092
Other providers in Sonora, CA
- Susan Sweigard Balcarcel
- Noella Roselena Baldonado
- Nancy Ann Balkenbush
- Sarah Anne Balthrop
- Zachary Scott Barlow
- Bay Area Rehabilitation Medical Group
- Mikel Bell
- Nora Elizabeth Bennett
- Tynesha Bennett
- Anisha Benny
All providers in Sonora, 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 Jun 21, 2019. 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.