Gloria Lundholm, LMFT is a
Marriage & Family Therapist based in Tahoe Vista, California. Gloria Lundholm is licensed to practice in California (license number 15968) and her current practice location is
7836 Pinedrop Lane, Tahoe Vista, California. She can be reached at her office (for appointments etc.) via phone at
(530) 546-4985.
NPI number for Gloria Lundholm is 1770686073 and her current mailing address is Po Box 1859, Kings Beach, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770686073.
Healthcare Provider's Profile
Full Name | Gloria Lundholm |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 7836 Pinedrop Lane, Tahoe Vista, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770686073
- Provider Enumeration Date: 09/06/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Gloria Lundholm such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770686073 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 15968 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gloria Lundholm is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Gloria Lundholm, LMFT Po Box 1859, Kings Beach, CA 96143-1859 Ph: (530) 546-4985 | Gloria Lundholm, LMFT 7836 Pinedrop Lane, Tahoe Vista, CA 96148 Ph: (530) 546-4985 |
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