Beverly M Breakey in Lodi - Marriage & Family Therapist
Beverly M Breakey - NPI 1417120767
Beverly M Breakey is a Marriage & Family Therapist in Lodi, California. Beverly M Breakey practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Beverly M Breakey is 1417120767. The last update date is 2008-04-08.
Beverly M Breakey's current location address is 1420 W Kettleman Ln, Lodi, California. You can contact this provider via phone number 2093342053 and fax number 2093344149. The mailing address for Beverly M Breakey is 1420 W Kettleman Ln, Lodi, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beverly M Breakey |
|---|---|
| Address | 1420 W Kettleman Ln, Lodi, California |
| Phone Number | 2093342053 |
| Fax Number | 2093344149 |
| Sole Proprietor | Y |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1417120767 |
|---|---|
| Provider Enumeration Date | 2008-04-08 |
| Last Updated Date | 2008-04-08 |
Provider Mailing Address Detail
| Address | 1420 W Kettleman Ln |
|---|---|
| City | Lodi |
| State | California (CA) |
| Post Code | 95242 |
| Phone Number | 2093342053 |
| Fax Number | 2093344149 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC30755 |
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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 identifier code assigned to Beverly M Breakey by the Centers for Medicare & Medicaid Services?
The Beverly M Breakey has been issued the NPI (National Provider Identifier) 1417120767 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Beverly M Breakey's facilities are situated?
The facilities of Beverly M Breakey are physically located at the following address: 1420 W Kettleman Ln, Lodi, CA, 95242.
What is the Beverly M Breakey's area of specialization and corresponding taxonomy classification?
The Beverly M Breakey's specialty field is Marriage & Family Therapist, and it falls under the taxonomy code 106H00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1417120767 to Beverly M Breakey?
The Centers for Medicare & Medicaid Services assigned the 1417120767 to Beverly M Breakey on 2008-04-08.
As of what date were the details pertaining to Beverly M Breakey last refreshed?
The information related to the Beverly M Breakey, including its address, specialty, and other relevant details, was last updated on 2008-04-08.