Michael W Tebow, LFMT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF00001122 Issued in WA

Practice address

555 Pacific Ave
Bremerton, WA 98337-1903

Phone

(360) 782-1700

Fax

(360) 782-1701

NPI assigned

Sep 19, 2007

Last updated

Nov 22, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1588850044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 PACIFIC AVE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983371903",
            "telephone_number": "360-782-1700",
            "fax_number": "360-782-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 PACIFIC AVE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983371903",
            "telephone_number": "360-782-1700",
            "fax_number": "360-782-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEBOW",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "LFMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-19",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00001122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A Taylor, RN
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• Tavis J Taylor, M.D.
• Trinity Taylor
• Tyshawn Taylor
• Shawn Erik Tedford, PA-C
• Bryce Isaiah Templeman, PA-C
• Sherry Templeton, CG60567184
• Emily Dawn Teran
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• Marriage & Family Therapist in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.