Marla Leone Bartow, LMFT
Individual provider Active NPI Marriage & Family Therapist · Crescent City, CA
NPI 1306936091 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1306936091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 42875 (CA)
- Practice address
- 299 I St
Crescent City, CA 95531-4378 - Phone
- (707) 954-5446
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 42875 | CA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 42875 | CA | Yes |
Addresses
Primary practice location
299 I St
Crescent City, CA 95531-4378
Mailing address
PO Box 1620
Crescent City, CA 95531-1620
Phone (707) 954-5446
Other providers in Crescent City, CA
- Shellie Sue Babich
- Cody Lee Bach
- Marc Werner Baisden
- Jason Baker
- Merlinda J Barreras
- Sam Battaglieri
- Battery Point Medical Services, a Medical Corporation
- Rea Ann Cadjew Beard
- Damien Beauchemin
- Alisha K Beers
All providers in Crescent City, 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.