Ilene Broder in Indio - Marriage & Family Therapist
Ilene Broder - NPI 1376646547
Ilene Broder is a Marriage & Family Therapist in Indio, California. Ilene Broder practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Ilene Broder is 1376646547. The last update date is 2007-07-08.
Ilene Broder's current location address is 47825 Oasis St, Indio, California. You can contact this provider via phone number 7608638602. The mailing address for Ilene Broder is 47825 Oasis St, Indio, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ilene Broder |
|---|---|
| Address | 47825 Oasis St, Indio, California |
| Phone Number | 7608638602 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1376646547 |
|---|---|
| Provider Enumeration Date | 2006-09-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 47825 Oasis St |
|---|---|
| City | Indio |
| State | California (CA) |
| Post Code | 922016950 |
| Phone Number | 7608638602 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC33139 |
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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 provider identifier assigned to Ilene Broder?
The Ilene Broder has been issued the NPI (National Provider Identifier) 1376646547 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Ilene Broder?
The Ilene Broder is situated at 47825 Oasis St, in the city of Indio, state of CA, with the zip code 922016950.
What is Ilene Broder's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ilene Broder is Marriage & Family Therapist, and the corresponding taxonomy classification code for this specialized field is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1376646547 to Ilene Broder?
The Ilene Broder received its 1376646547 assignment from the Centers for Medicare & Medicaid Services on 2006-09-06.
As of what date were the details related to Ilene Broder most recently updated or revised?
The information pertaining to Ilene Broder, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.