Amy Shore in La Mesa - Marriage & Family Therapist
Amy Shore - NPI 1780722983
Amy Shore is a Marriage & Family Therapist in La Mesa, California. Amy Shore practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Amy Shore is 1780722983. The last update date is 2015-04-01.
Amy Shore's current location address is 8697c La Mesa Boulevard, La Mesa, California. You can contact this provider via phone number 6195499759. The mailing address for Amy Shore is 8697c La Mesa Boulevard, La Mesa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy Shore |
|---|---|
| Address | 8697c La Mesa Boulevard, La Mesa, California |
| Phone Number | 6195499759 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MA, MFT |
NPI Number Detail
| NPI Number | 1780722983 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2015-04-01 |
Provider Mailing Address Detail
| Address | 8697c La Mesa Boulevard |
|---|---|
| City | La Mesa |
| State | California (CA) |
| Post Code | 919415126 |
| Phone Number | 6195499759 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | IMF44907 |
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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 10-digit identification code assigned to Amy Shore by the Centers for Medicare & Medicaid Services?
The Amy Shore has been issued the NPI (National Provider Identifier) 1780722983, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Amy Shore is physically located?
The Amy Shore is situated at the following address: 8697C La Mesa Boulevard, La Mesa, CA 919415126.
What is Amy Shore's specialized field of practice, and what is the corresponding taxonomy classification code?
The Amy Shore'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 Centers for Medicare & Medicaid Services originally issue the 1780722983 to Amy Shore?
The Centers for Medicare & Medicaid Services originally issued the 1780722983 to Amy Shore on 2007-02-01.
As of what date were the Amy Shore's details last updated?
The information pertaining to the Amy Shore, including its address, specialty, and other details, was most recently updated on 2015-04-01.