Michelle Lynn Fryback in El Segundo - Marriage & Family Therapist
Michelle Lynn Fryback - NPI 1396893772
Michelle Lynn Fryback is a Marriage & Family Therapist in El Segundo, California. Michelle Lynn Fryback practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Michelle Lynn Fryback is 1396893772. The last update date is 2012-01-05.
Michelle Lynn Fryback's current location address is 302 W Grand Ave, El Segundo, California. You can contact this provider via phone number 3107847717 and fax number 3103261030. The mailing address for Michelle Lynn Fryback is 302 W Grand Ave, El Segundo, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michelle Lynn Fryback |
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Address | 302 W Grand Ave, El Segundo, California |
Phone Number | 3107847717 |
Fax Number | 3103261030 |
Sole Proprietor | Y |
Credentials | MFT |
NPI Number Detail
NPI Number | 1396893772 |
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Provider Enumeration Date | 2007-01-08 |
Last Updated Date | 2012-01-05 |
Provider Mailing Address Detail
Address | 302 W Grand Ave |
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City | El Segundo |
State | California (CA) |
Post Code | 902453700 |
Phone Number | 3107847717 |
Fax Number | 3103261030 |
Provider's Primary Taxonomy Detail
Speciality | Marriage & Family Therapist |
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Taxonomy | 106H00000X |
Licence No | MFC39858 |
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 assigned to Michelle Lynn Fryback by the Centers for Medicare & Medicaid Services?
The Michelle Lynn Fryback has been issued the NPI (National Provider Identifier) 1396893772 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Michelle Lynn Fryback?
The Michelle Lynn Fryback is situated at 302 W Grand Ave, in the city of El Segundo, state of CA, with the zip code 902453700.
What is Michelle Lynn Fryback's area of expertise and its corresponding taxonomy classification?
The Michelle Lynn Fryback's field of specialization is Marriage & Family Therapist, and it falls under the taxonomy code 106H00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Michelle Lynn Fryback receive its 1396893772 assignment from the Centers for Medicare & Medicaid Services?
The Michelle Lynn Fryback was assigned its 1396893772 by the Centers for Medicare & Medicaid Services on 2007-01-08.
When was the information related to Michelle Lynn Fryback most recently updated or refreshed?
The details pertaining to the Michelle Lynn Fryback, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-01-05.