Barbara Ann Cedarblade, MFT INTERN 59710
Individual provider Active NPI Marriage & Family Therapist · Sausalito, CA
NPI 1609180967 · NPPES record last updated Jul 28, 2010
Key facts
- NPI
- 1609180967
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 59710 (CA)
- Practice address
- 33 Buchanan Dr
Sausalito, CA 94965-1650 - Phone
- (415) 331-6161
- Fax
- (415) 331-4545
- NPI assigned
- Jul 28, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 59710 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corstone | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 59710 | CA | Yes |
Addresses
Primary practice location
33 Buchanan Dr
Sausalito, CA 94965-1650
Mailing address
33 Buchanan Dr
Sausalito, CA 94965-1650
Phone (415) 331-6161
Other providers in Sausalito, CA
- Elisabeth G Cain
- Christine None Campbell
- Clay Campbell
- Jennifer Caplan
- Catherine Jessica Carlevato
- Helen Chandler
- Michael C Chase
- Michael R. Chiarottino
- Siegried Audfrey Flores Chin
- Holly Louise Christman
All providers in Sausalito, 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 28, 2010. 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.