Jerry Ray Pulley in Temecula - Clinical

Jerry Ray Pulley - NPI 1407978844

Jerry Ray Pulley is a Clinical in Temecula, California. Jerry Ray Pulley practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jerry Ray Pulley is 1407978844. The last update date is 2011-10-21.

Jerry Ray Pulley's current location address is 28999 Old Town Front St, Temecula, California. You can contact this provider via phone number 9517643245 and fax number 9513081515. The mailing address for Jerry Ray Pulley is 28999 Old Town Front St, Temecula, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry Ray Pulley
Address 28999 Old Town Front St, Temecula, California
Phone Number 9517643245
Fax Number 9513081515
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1407978844
Provider Enumeration Date 2007-04-05
Last Updated Date 2011-10-21

Provider Mailing Address Detail

Address 28999 Old Town Front St
City Temecula
State California (CA)
Post Code 925905805
Phone Number 9517643245
Fax Number 9513081515

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LCS 17518
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Jerry Ray Pulley

What is the unique 10-digit identification code assigned to Jerry Ray Pulley by the Centers for Medicare & Medicaid Services?

The Jerry Ray Pulley has been issued the NPI (National Provider Identifier) 1407978844, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Jerry Ray Pulley's facilities are situated?

The facilities of Jerry Ray Pulley are physically located at the following address: 28999 Old Town Front St, Temecula, CA, 925905805.

What is the Jerry Ray Pulley's area of specialization and corresponding taxonomy classification?

The Jerry Ray Pulley's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.

When did the Jerry Ray Pulley receive its 1407978844?

The Jerry Ray Pulley was issued its 1407978844 on 2007-04-05, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Jerry Ray Pulley last refreshed?

The information related to the Jerry Ray Pulley, including its address, specialty, and other relevant details, was last updated on 2011-10-21.

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