Russell Glen Beazer in Gilbert - Marriage & Family Therapist
Russell Glen Beazer - NPI 1386730992
Russell Glen Beazer is a Marriage & Family Therapist in Gilbert, Arizona. Russell Glen Beazer practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Russell Glen Beazer is 1386730992. The last update date is 2020-04-16.
Russell Glen Beazer's current location address is 1760 E Boston St Ste 102, Gilbert, Arizona. You can contact this provider via phone number 4806496499 and fax number 4802072580. The mailing address for Russell Glen Beazer is 1760 E Boston St Ste 102, Gilbert, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Glen Beazer |
|---|---|
| Address | 1760 E Boston St Ste 102, Gilbert, Arizona |
| Phone Number | 4806496499 |
| Fax Number | 4802072580 |
| Sole Proprietor | Y |
| Credentials | M.S. |
NPI Number Detail
| NPI Number | 1386730992 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2020-04-16 |
Provider Mailing Address Detail
| Address | 1760 E Boston St Ste 102 |
|---|---|
| City | Gilbert |
| State | Arizona (AZ) |
| Post Code | 852956241 |
| Phone Number | 4806496499 |
| Fax Number | 4802072580 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | LMFT-10047 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique 10-digit identification code assigned to Russell Glen Beazer by the Centers for Medicare & Medicaid Services?
The Russell Glen Beazer has been issued the NPI (National Provider Identifier) 1386730992, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Russell Glen Beazer's facilities are geographically located?
The facilities of Russell Glen Beazer are physically situated at the following location: 1760 E Boston St Ste 102, Gilbert, AZ, 852956241.
What is the area of specialization for Russell Glen Beazer, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Russell Glen Beazer is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 106H00000X.
When did Russell Glen Beazer receive its 1386730992 assignment?
The Russell Glen Beazer was assigned its 1386730992 on 2006-10-04, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Russell Glen Beazer last refreshed?
The information related to the Russell Glen Beazer, including its address, specialty, and other relevant details, was last updated on 2020-04-16.
NPI Number: 1720081763
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