Judith Ann Tegland, LMFT
Marriage & Family Therapist in Sonoma, CA. Individual provider (NPI-1).
NPI number1669976312
StatusActive
Last updated in NPPESMay 2, 2024
Details
- NPI
- 1669976312
- Entity type
- Individual (NPI-1)
- Name
- Judith Ann Tegland
- Credential
- LMFT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 19, 2018
- Certification date
- May 2, 2024
- Last updated
- May 2, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MARRIAGE AND FAMILY THERAPIST
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT31669 | CA | Yes |
Practice location
203 Temelec CirSonoma, CA 95476-8027
Phone 415-430-7470
Mailing address
203 Temelec CirSonoma, CA 95476-8027
Phone 415-430-7470
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 52 Marriage & Family Therapist providers in Sonoma · All 512 providers in Sonoma
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