Marguerite Small is a Clinical in Petaluma, California. Marguerite Small practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marguerite Small is 1740300326. The last update date is 2007-07-08.
Marguerite Small's current location address is 523 Hayes Ln, Petaluma, California. You can contact this provider via phone number 8002578715 and fax number 8008191655. The mailing address for Marguerite Small is 523 Hayes Ln, Petaluma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marguerite Small |
|---|---|
| Address | 523 Hayes Ln, Petaluma, California |
| Phone Number | 8002578715 |
| Fax Number | 8008191655 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1740300326 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 523 Hayes Ln |
|---|---|
| City | Petaluma |
| State | California (CA) |
| Post Code | 949524011 |
| Phone Number | 8002578715 |
| Fax Number | 8008191655 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY18470 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Marguerite Small's unique identification number?
The Marguerite Small has been assigned the NPI (National Provider Identifier) Number 1740300326 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Marguerite Small?
The Marguerite Small is physically situated at 523 Hayes Ln, in the city of Petaluma, state of CA, with the postal code 949524011.
What is Marguerite Small's specialized field of practice, and what is the corresponding taxonomy classification code?
The Marguerite Small's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Marguerite Small receive the assignment of its 1740300326 from the Centers for Medicare & Medicaid Services?
The Marguerite Small was issued its 1740300326 by the Centers for Medicare & Medicaid Services on 2007-03-29.
As of what date were the details related to Marguerite Small most recently updated or revised?
The information pertaining to Marguerite Small, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.