| Craig Dauderman, MFTI86341 | |
|
6051 N Fresno St Ste 201, Fresno, CA 93710-5280 | |
| (559) 903-1413 | |
| Not Available |
| Full Name | Craig Dauderman |
|---|---|
| Gender | Male |
| Speciality | Marriage And Family Therapist |
| Experience | 11 Years |
| Location | 6051 N Fresno St Ste 201, Fresno, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306058987 | NPI | - | NPPES |
| 000001050 | Other | CA | MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | IMF86341 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 8867 |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| 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 |
|---|---|
| Craig Dauderman, MFTI86341 6051 N Fresno St Ste 201, Fresno, CA 93710-5280 Ph: (559) 260-0454 | Craig Dauderman, MFTI86341 6051 N Fresno St Ste 201, Fresno, CA 93710-5280 Ph: (559) 903-1413 |
Ms. Dolores Giammarise Amato, MS MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6777 N Willow Ave, #141, Fresno, CA 93710 Phone: 559-298-7230 Fax: 888-730-7357 | |
Lori L. James, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 4441 E Kings Canyon Rd, Fresno, CA 93702 Phone: 559-253-9180 Fax: 559-453-8436 | |
Nicole Yvette Sinerchio, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2560 W Shaw Ln Ste 104, Fresno, CA 93711 Phone: 559-443-4800 | |
Ms. Shanise Lewis, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: Po Box 11098, Fresno, CA 93771 Phone: 559-577-0297 | |
Cheryl Lee Dueck Smith, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1734 W Shaw Ave, Fresno, CA 93711 Phone: 559-439-5920 | |
Anabel Carrasco, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2560 W Shaw Ln Ste 104, Fresno, CA 93711 Phone: 559-443-4800 | |
Abraham Vega Magana, Couples Therapy Medicare: May Accept Medicare Assignments Practice Location: 4441 E Cesar Chavez Blvd, Fresno, CA 93702 Phone: 559-600-9180 |