Provider Demographics
NPI:1417129578
Name:BOBE-KOLLMEYER, NORBERTAMARIE VERONICA (MS)
Entity Type:Individual
Prefix:MS
First Name:NORBERTAMARIE
Middle Name:VERONICA
Last Name:BOBE-KOLLMEYER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:N.
Other - Middle Name:VERONICA
Other - Last Name:BOBE-KOLLMEYER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:23035 MADISON ST APT 26
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-3909
Mailing Address - Country:US
Mailing Address - Phone:310-514-7850
Mailing Address - Fax:
Practice Address - Street 1:901 N PACIFIC COAST HWY
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-2162
Practice Address - Country:US
Practice Address - Phone:310-316-1610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-29
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor