Wayne Charles Thurston in San Rafael - Clinical
Wayne Charles Thurston - NPI 1588853451
Wayne Charles Thurston is a Clinical in San Rafael, California. Wayne Charles Thurston practices all healthcare services and medical treatments related to Clinical. The NPI Number for Wayne Charles Thurston is 1588853451. The last update date is 2007-10-17.
Wayne Charles Thurston's current location address is 610 D St, San Rafael, California. You can contact this provider via phone number 4157176549. The mailing address for Wayne Charles Thurston is 610 D St, San Rafael, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wayne Charles Thurston |
|---|---|
| Address | 610 D St, San Rafael, California |
| Phone Number | 4157176549 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1588853451 |
|---|---|
| Provider Enumeration Date | 2007-10-17 |
| Last Updated Date | 2007-10-17 |
Provider Mailing Address Detail
| Address | 610 D St |
|---|---|
| City | San Rafael |
| State | California (CA) |
| Post Code | 949013708 |
| Phone Number | 4157176549 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY17829 |
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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 unique identification code assigned to Wayne Charles Thurston by the Centers for Medicare & Medicaid Services?
The Wayne Charles Thurston has been issued the NPI (National Provider Identifier) 1588853451. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Wayne Charles Thurston's physical address?
The Wayne Charles Thurston is physically located at 610 D St, in the city of San Rafael, CA, with the postal code 949013708.
What is Wayne Charles Thurston's specialized field of practice, and what is the corresponding taxonomy classification code?
The Wayne Charles Thurston's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did Wayne Charles Thurston receive its 1588853451 assignment from the Centers for Medicare & Medicaid Services?
The Wayne Charles Thurston was assigned its 1588853451 on 2007-10-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Wayne Charles Thurston last refreshed?
The information related to the Wayne Charles Thurston, including its address, specialty, and other relevant details, was last updated on 2007-10-17.
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