John Elliott Jervis in Davis - Marriage & Family Therapist
John Elliott Jervis - NPI 1316131063
John Elliott Jervis is a Marriage & Family Therapist in Davis, California. John Elliott Jervis practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for John Elliott Jervis is 1316131063. The last update date is 2018-03-17.
John Elliott Jervis's current location address is 4363 Mahogany Ln, Davis, California. You can contact this provider via phone number 5302195117. The mailing address for John Elliott Jervis is 4363 Mahogany Ln, Davis, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Elliott Jervis |
|---|---|
| Address | 4363 Mahogany Ln, Davis, California |
| Phone Number | 5302195117 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1316131063 |
|---|---|
| Provider Enumeration Date | 2007-09-05 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 4363 Mahogany Ln |
|---|---|
| City | Davis |
| State | California (CA) |
| Post Code | 956186081 |
| Phone Number | 5302195117 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC39484 |
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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 John Elliott Jervis's 1316131063?
The John Elliott Jervis's NPI (National Provider Identifier) Number is 1316131063. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where John Elliott Jervis is geographically located?
The John Elliott Jervis is physically situated at the following location: 4363 Mahogany Ln, Davis, CA, 956186081.
What is John Elliott Jervis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John Elliott Jervis is Marriage & Family Therapist, and the taxonomy code that classifies this field of practice is 106H00000X.
On what date did the John Elliott Jervis receive the assignment of its 1316131063 from the Centers for Medicare & Medicaid Services?
The John Elliott Jervis was issued its 1316131063 by the Centers for Medicare & Medicaid Services on 2007-09-05.
When was the information regarding John Elliott Jervis most recently updated?
The details pertaining to the John Elliott Jervis, including its address, specialty, and other relevant information, were last refreshed on 2018-03-17.
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