Beverly Rae Matsuishi in San Rafael - Clinical
Beverly Rae Matsuishi - NPI 1578598447
Beverly Rae Matsuishi is a Clinical in San Rafael, California. Beverly Rae Matsuishi practices all healthcare services and medical treatments related to Clinical. The NPI Number for Beverly Rae Matsuishi is 1578598447. The last update date is 2007-07-08.
Beverly Rae Matsuishi's current location address is 18 Marinita Ave, San Rafael, California. You can contact this provider via phone number 4152581771 and fax number 4152581771. The mailing address for Beverly Rae Matsuishi is 18 Marinita Ave, San Rafael, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beverly Rae Matsuishi |
|---|---|
| Address | 18 Marinita Ave, San Rafael, California |
| Phone Number | 4152581771 |
| Fax Number | 4152581771 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1578598447 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 18 Marinita Ave |
|---|---|
| City | San Rafael |
| State | California (CA) |
| Post Code | 949013431 |
| Phone Number | 4152581771 |
| Fax Number | 4152581771 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 16203 |
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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 Beverly Rae Matsuishi's unique identification number?
The Beverly Rae Matsuishi has been assigned the NPI (National Provider Identifier) Number 1578598447 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Beverly Rae Matsuishi's facilities are situated?
The facilities of Beverly Rae Matsuishi are physically located at the following address: 18 Marinita Ave, San Rafael, CA, 949013431.
What is Beverly Rae Matsuishi's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Beverly Rae Matsuishi is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
When did the Beverly Rae Matsuishi receive its 1578598447?
The Beverly Rae Matsuishi was issued its 1578598447 on 2006-07-11, which is the date when the organization was assigned this unique identifier.
When was the information regarding Beverly Rae Matsuishi most recently updated?
The details pertaining to the Beverly Rae Matsuishi, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1962405878
Address: 2650 Elm Ave Ste 218, Long Beach, CA