Mary Wallace in Half Moon Bay - Marriage & Family Therapist
Mary Wallace - NPI 1639297021
Mary Wallace is a Marriage & Family Therapist in Half Moon Bay, California. Mary Wallace practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Mary Wallace is 1639297021. The last update date is 2007-07-08.
Mary Wallace's current location address is 225 Cabrillo Hwy S, Half Moon Bay, California. You can contact this provider via phone number 6505733724 and fax number 6507264963. The mailing address for Mary Wallace is 225 Cabrillo Hwy S, Half Moon Bay, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Wallace |
|---|---|
| Address | 225 Cabrillo Hwy S, Half Moon Bay, California |
| Phone Number | 6505733724 |
| Fax Number | 6507264963 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1639297021 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 225 Cabrillo Hwy S |
|---|---|
| City | Half Moon Bay |
| State | California (CA) |
| Post Code | 940198200 |
| Phone Number | 6505733724 |
| Fax Number | 6507264963 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC31243 |
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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 Mary Wallace's unique identification number?
The Mary Wallace has been assigned the NPI (National Provider Identifier) Number 1639297021 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Mary Wallace's physical address?
The Mary Wallace is physically located at 225 Cabrillo Hwy S, in the city of Half Moon Bay, CA, with the postal code 940198200.
What is Mary Wallace's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary Wallace is Marriage & Family Therapist, and the taxonomy code that classifies this field of practice is 106H00000X.
When did the Mary Wallace receive its 1639297021?
The Mary Wallace was issued its 1639297021 on 2007-03-26, which is the date when the organization was assigned this unique identifier.
As of what date were the Mary Wallace's details last updated?
The information pertaining to the Mary Wallace, including its address, specialty, and other details, was most recently updated on 2007-07-08.