Bertha Helen Head in La Canada - Marriage & Family Therapist
Bertha Helen Head - NPI 1780776971
Bertha Helen Head is a Marriage & Family Therapist in La Canada, California. Bertha Helen Head practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Bertha Helen Head is 1780776971. The last update date is 2007-07-08.
Bertha Helen Head's current location address is 5123 Jarvis Ave, La Canada, California. You can contact this provider via phone number 8187902290 and fax number 8187905064. The mailing address for Bertha Helen Head is 5123 Jarvis Ave, La Canada, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bertha Helen Head |
|---|---|
| Address | 5123 Jarvis Ave, La Canada, California |
| Phone Number | 8187902290 |
| Fax Number | 8187905064 |
| Sole Proprietor | Y |
| Credentials | M.A. LMFT |
NPI Number Detail
| NPI Number | 1780776971 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5123 Jarvis Ave |
|---|---|
| City | La Canada |
| State | California (CA) |
| Post Code | 910111642 |
| Phone Number | 8187902290 |
| Fax Number | 8187905064 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC39297 |
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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 Bertha Helen Head's 1780776971?
The Bertha Helen Head's NPI (National Provider Identifier) Number is 1780776971. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Bertha Helen Head?
The Bertha Helen Head is situated at 5123 Jarvis Ave, in the city of La Canada, state of CA, with the zip code 910111642.
What is the Bertha Helen Head's specialty and taxonomy code?
The Bertha Helen Head's specialty is Marriage & Family Therapist, and the corresponding taxonomy code is 106H00000X.
On what date did the Bertha Helen Head receive its 1780776971 assignment from the Centers for Medicare & Medicaid Services?
The Bertha Helen Head was assigned its 1780776971 by the Centers for Medicare & Medicaid Services on 2006-09-28.
When was the information regarding Bertha Helen Head most recently updated?
The details pertaining to the Bertha Helen Head, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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