Gerald Randall Speyer in Loma Linda - Marriage & Family Therapist
Gerald Randall Speyer - NPI 1245354794
Gerald Randall Speyer is a Marriage & Family Therapist in Loma Linda, California. Gerald Randall Speyer practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Gerald Randall Speyer is 1245354794. The last update date is 2014-10-09.
Gerald Randall Speyer's current location address is 11125 Campus St, Loma Linda, California. You can contact this provider via phone number 9095584570. The mailing address for Gerald Randall Speyer is 11125 Campus St, Loma Linda, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerald Randall Speyer |
|---|---|
| Address | 11125 Campus St, Loma Linda, California |
| Phone Number | 9095584570 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MFT |
NPI Number Detail
| NPI Number | 1245354794 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2014-10-09 |
Provider Mailing Address Detail
| Address | 11125 Campus St |
|---|---|
| City | Loma Linda |
| State | California (CA) |
| Post Code | 923543227 |
| Phone Number | 9095584570 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC 42802 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MFC 42802 | CA | STATE LICENSE |
Post Comment/ Review Below
What is the Gerald Randall Speyer's unique identification number?
The Gerald Randall Speyer has been assigned the NPI (National Provider Identifier) Number 1245354794 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Gerald Randall Speyer?
The Gerald Randall Speyer is physically situated at 11125 Campus St, in the city of Loma Linda, state of CA, with the postal code 923543227.
What is the area of specialization for Gerald Randall Speyer, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gerald Randall Speyer is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 106H00000X.
On what date did Gerald Randall Speyer receive its 1245354794 assignment from the Centers for Medicare & Medicaid Services?
The Gerald Randall Speyer was assigned its 1245354794 on 2007-03-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Gerald Randall Speyer most recently updated?
The details pertaining to the Gerald Randall Speyer, including its address, specialty, and other relevant information, were last refreshed on 2014-10-09.
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