Shantelle Noel Buethe, M.A.
Individual provider Active NPI Marriage & Family Therapist · Turlock, CA
NPI 1770780595 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1770780595
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- IMF#52721 (CA)
- Practice address
- 743 Alpha Rd
Turlock, CA 95380-5505 - Phone
- (209) 668-4651
- Fax
- (209) 668-4666
- NPI assigned
- Jun 27, 2007
- 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF#52721 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF#52721 | CA | Yes |
Addresses
Primary practice location
743 Alpha Rd
Turlock, CA 95380-5505
Mailing address
743 Alpha Rd
Turlock, CA 95380-5505
Phone (209) 668-4651
Other providers in Turlock, CA
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- Bryan L Green
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- Karla Sofia Buenrostro
- Hiep P Bui
- Russell Bunting
- Arik Burgin
- Sheree Burleson
- Kaila Meridian Burnett
All providers in Turlock, 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.