Georgiana S. Wardle in San Rafael - Mental Health
Georgiana S. Wardle - NPI 1104999051
Georgiana S. Wardle is a Mental Health in San Rafael, California. Georgiana S. Wardle practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Georgiana S. Wardle is 1104999051. The last update date is 2007-07-08.
Georgiana S. Wardle's current location address is 555 Northgate Dr, San Rafael, California. You can contact this provider via phone number 4154915700 and fax number 4154915750. The mailing address for Georgiana S. Wardle is 555 Northgate Dr, San Rafael, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Georgiana S. Wardle |
|---|---|
| Address | 555 Northgate Dr, San Rafael, California |
| Phone Number | 4154915700 |
| Fax Number | 4154915750 |
| Sole Proprietor | N |
| Credentials | MFT |
NPI Number Detail
| NPI Number | 1104999051 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 555 Northgate Dr |
|---|---|
| City | San Rafael |
| State | California (CA) |
| Post Code | 949033680 |
| Phone Number | 4154915700 |
| Fax Number | 4154915750 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | MFT28159 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique 10-digit identifier code issued to Georgiana S. Wardle by the Centers for Medicare & Medicaid Services?
The Georgiana S. Wardle has been assigned the NPI (National Provider Identifier) 1104999051 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Georgiana S. Wardle is geographically located?
The Georgiana S. Wardle is physically situated at the following location: 555 Northgate Dr, San Rafael, CA, 949033680.
What is Georgiana S. Wardle's specialized field of practice, and what is the corresponding taxonomy classification code?
The Georgiana S. Wardle's area of specialization is Mental Health, and the corresponding taxonomy code that categorizes this field of practice is 101Ym0800X.
On what date did the Georgiana S. Wardle receive its 1104999051 assignment from the Centers for Medicare & Medicaid Services?
The Georgiana S. Wardle was assigned its 1104999051 by the Centers for Medicare & Medicaid Services on 2006-11-16.
When was the information related to Georgiana S. Wardle most recently updated or refreshed?
The details pertaining to the Georgiana S. Wardle, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.