Michael Tyson in Capitola - Marriage & Family Therapist
Michael Tyson - NPI 1417975400
Michael Tyson is a Marriage & Family Therapist in Capitola, California. Michael Tyson practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Michael Tyson is 1417975400. The last update date is 2007-07-08.
Michael Tyson's current location address is 4245 Capitola Rd, Capitola, California. You can contact this provider via phone number 8314756711. The mailing address for Michael Tyson is 4245 Capitola Rd, Capitola, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Tyson |
|---|---|
| Address | 4245 Capitola Rd, Capitola, California |
| Phone Number | 8314756711 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1417975400 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4245 Capitola Rd |
|---|---|
| City | Capitola |
| State | California (CA) |
| Post Code | 950103573 |
| Phone Number | 8314756711 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC22682 |
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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 identifier code issued to Michael Tyson by the Centers for Medicare & Medicaid Services?
The Michael Tyson has been assigned the NPI (National Provider Identifier) 1417975400 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Michael Tyson is physically located?
The Michael Tyson is physically situated at the following address: 4245 Capitola Rd, Capitola, CA, 950103573.
What is Michael Tyson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michael Tyson's specialized field of practice is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 106H00000X.
When was the Michael Tyson's 1417975400 issued?
The Michael Tyson's 1417975400 was issued on 2006-07-17.
As of what date were the details pertaining to Michael Tyson last refreshed?
The information related to the Michael Tyson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.