Penny Elizabeth King-Licano in Long Beach - Marriage & Family Therapist
Penny Elizabeth King-Licano - NPI 1437284577
Penny Elizabeth King-Licano is a Marriage & Family Therapist in Long Beach, California. Penny Elizabeth King-Licano practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Penny Elizabeth King-Licano is 1437284577. The last update date is 2019-10-31.
Penny Elizabeth King-Licano's current location address is 100 E Wardlow Rd, Long Beach, California. You can contact this provider via phone number 5624276818. The mailing address for Penny Elizabeth King-Licano is 100 E Wardlow Rd, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Penny Elizabeth King-Licano |
|---|---|
| Address | 100 E Wardlow Rd, Long Beach, California |
| Phone Number | 5624276818 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1437284577 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2019-10-31 |
Provider Mailing Address Detail
| Address | 100 E Wardlow Rd |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 908074417 |
| Phone Number | 5624276818 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | LMFT114472 |
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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 Penny Elizabeth King-Licano by the Centers for Medicare & Medicaid Services?
The Penny Elizabeth King-Licano has been issued the NPI (National Provider Identifier) 1437284577, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Penny Elizabeth King-Licano's facilities are geographically located?
The facilities of Penny Elizabeth King-Licano are physically situated at the following location: 100 E Wardlow Rd, Long Beach, CA, 908074417.
What is Penny Elizabeth King-Licano's specialized field of practice, and what is the corresponding taxonomy classification code?
The Penny Elizabeth King-Licano'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 Penny Elizabeth King-Licano receive the assignment of its 1437284577 from the Centers for Medicare & Medicaid Services?
The Penny Elizabeth King-Licano was issued its 1437284577 by the Centers for Medicare & Medicaid Services on 2007-02-22.
As of what date were the details pertaining to Penny Elizabeth King-Licano last refreshed?
The information related to the Penny Elizabeth King-Licano, including its address, specialty, and other relevant details, was last updated on 2019-10-31.