Bruce Robert Fredenburg in Dana Point - Marriage & Family Therapist
Bruce Robert Fredenburg - NPI 1104833938
Bruce Robert Fredenburg is a Marriage & Family Therapist in Dana Point, California. Bruce Robert Fredenburg practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Bruce Robert Fredenburg is 1104833938. The last update date is 2007-07-08.
Bruce Robert Fredenburg's current location address is Po Box 808, Dana Point, California. You can contact this provider via phone number 9493382218 and fax number 9498551388. The mailing address for Bruce Robert Fredenburg is Po Box 808, Dana Point, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Robert Fredenburg |
|---|---|
| Address | Po Box 808, Dana Point, California |
| Phone Number | 9493382218 |
| Fax Number | 9498551388 |
| Sole Proprietor | Y |
| Credentials | L.M.F.T. |
NPI Number Detail
| NPI Number | 1104833938 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 808 |
|---|---|
| City | Dana Point |
| State | California (CA) |
| Post Code | 926290808 |
| Phone Number | 9493382218 |
| Fax Number | 9498551388 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC17319 |
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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 Bruce Robert Fredenburg by the Centers for Medicare & Medicaid Services?
The Bruce Robert Fredenburg has been issued the NPI (National Provider Identifier) 1104833938, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Bruce Robert Fredenburg is physically located?
The Bruce Robert Fredenburg is situated at the following address: Po Box 808, Dana Point, CA 926290808.
What is Bruce Robert Fredenburg's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bruce Robert Fredenburg's area of specialization is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this field of practice is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104833938 to Bruce Robert Fredenburg?
The Centers for Medicare & Medicaid Services assigned the 1104833938 to Bruce Robert Fredenburg on 2006-08-02.
As of what date was the information regarding Bruce Robert Fredenburg, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bruce Robert Fredenburg, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.