Larry L Brashaw in Forest Ranch - Marriage & Family Therapist
Larry L Brashaw - NPI 1164580502
Larry L Brashaw is a Marriage & Family Therapist in Forest Ranch, California. Larry L Brashaw practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Larry L Brashaw is 1164580502. The last update date is 2007-07-08.
Larry L Brashaw's current location address is Po Box 474, Forest Ranch, California. You can contact this provider via phone number 5308921417. The mailing address for Larry L Brashaw is Po Box 474, Forest Ranch, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry L Brashaw |
|---|---|
| Address | Po Box 474, Forest Ranch, California |
| Phone Number | 5308921417 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MFT I |
NPI Number Detail
| NPI Number | 1164580502 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 474 |
|---|---|
| City | Forest Ranch |
| State | California (CA) |
| Post Code | 95942 |
| Phone Number | 5308921417 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFTI 48878 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 48878 | CA | IMF |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Larry L Brashaw by the Centers for Medicare & Medicaid Services?
The Larry L Brashaw has been assigned the NPI (National Provider Identifier) 1164580502 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 physical location address of Larry L Brashaw?
The Larry L Brashaw is physically situated at Po Box 474, in the city of Forest Ranch, state of CA, with the postal code 95942.
What is Larry L Brashaw's specialized field of practice, and what is the corresponding taxonomy classification code?
The Larry L Brashaw'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 Larry L Brashaw receive its 1164580502 assignment from the Centers for Medicare & Medicaid Services?
The Larry L Brashaw was assigned its 1164580502 by the Centers for Medicare & Medicaid Services on 2006-12-05.
When was the information related to Larry L Brashaw most recently updated or refreshed?
The details pertaining to the Larry L Brashaw, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.