Leslie Bandle, | |
3101 Telegraph Ave, Berkeley, CA 94705-1984 | |
(408) 757-6431 | |
Not Available |
Full Name | Leslie Bandle |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 3101 Telegraph Ave, Berkeley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043521347 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | MFC53350 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Leslie Bandle, 517 Stannage Ave, D, Albany, CA 94706-1236 Ph: (408) 757-6431 | Leslie Bandle, 3101 Telegraph Ave, Berkeley, CA 94705-1984 Ph: (408) 757-6431 |
Susan Mary Chasson, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2145 Mcgee Ave, Berkeley, CA 94703 Phone: 510-549-1567 | |
Dymetria Sellers, Couples Therapy Medicare: Medicare Enrolled Practice Location: 2855 Telegraph Ave Ste 205, Berkeley, CA 94705 Phone: 888-963-9639 | |
Phoenix Song, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1400 Shattuck Ave, Ste 12, #228, Berkeley, CA 94709 Phone: 415-545-8215 | |
Winifred Mullinack Reilly, MA, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1314 Milvia St, Berkeley, CA 94709 Phone: 510-528-0802 | |
Leland S Johnson, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2640 Martin Luther King Jr Way, Berkeley, CA 94704 Phone: 510-981-5290 Fax: 510-981-5265 | |
Ms. Madeline Mischo Shelby, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2925 Shattuck Ave, Berkeley, CA 94705 Phone: 510-568-6221 Fax: 510-568-6221 | |
Ms. Caro S. Grosvenor, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2526 Webster St, Berkeley, CA 94705 Phone: 510-734-6559 Fax: 510-526-4092 |