Paul White, BS, MA | |
1129 Marsh St, San Luis Obispo, CA 93401-3323 | |
(805) 543-7969 | |
Not Available |
Full Name | Paul White |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 1129 Marsh St, San Luis Obispo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023567963 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 94615 (California) | Primary |
Entity Name | Soultenders Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164617007 PECOS PAC ID: 6507170453 Enrollment ID: O20150917001766 |
Mailing Address | Practice Location Address |
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Paul White, BS, MA Po Box 192, Grover Beach, CA 93483-0192 Ph: (805) 904-0037 | Paul White, BS, MA 1129 Marsh St, San Luis Obispo, CA 93401-3323 Ph: (805) 543-7969 |
Callie Rose Boller, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2178 Johnson Ave, San Luis Obispo, CA 93401 Phone: 805-781-4700 | |
Susie Juliana Bautista, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2178 Johnson Ave, San Luis Obispo, CA 93401 Phone: 805-781-4960 | |
Ms. Lynn N. Swanson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11573 Los Osos Valley Rd, Suite D, San Luis Obispo, CA 93405 Phone: 805-541-1434 | |
Pamela Kremza, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 508 Higuera St, San Luis Obispo, CA 93401 Phone: 626-991-0047 | |
Michael Kington, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1103 Toro St, San Luis Obispo, CA 93401 Phone: 805-781-4190 | |
Margaret Hoyne Brown, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1411 Marsh St Ste 201, San Luis Obispo, CA 93401 Phone: 805-689-6187 |