Gwendolyn Y Tyson in Los Angeles - Marriage & Family Therapist
Gwendolyn Y Tyson - NPI 1568592491
Gwendolyn Y Tyson is a Marriage & Family Therapist in Los Angeles, California. Gwendolyn Y Tyson practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Gwendolyn Y Tyson is 1568592491. The last update date is 2018-05-11.
Gwendolyn Y Tyson's current location address is 11601 S Western Ave, Los Angeles, California. You can contact this provider via phone number 3232425000. The mailing address for Gwendolyn Y Tyson is 11601 S Western Ave, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gwendolyn Y Tyson |
|---|---|
| Address | 11601 S Western Ave, Los Angeles, California |
| Phone Number | 3232425000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1568592491 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2018-05-11 |
Provider Mailing Address Detail
| Address | 11601 S Western Ave |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900475006 |
| Phone Number | 3232425000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC 38713 |
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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 Gwendolyn Y Tyson by the Centers for Medicare & Medicaid Services?
The Gwendolyn Y Tyson has been issued the NPI (National Provider Identifier) 1568592491, 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 Gwendolyn Y Tyson's facilities are geographically located?
The facilities of Gwendolyn Y Tyson are physically situated at the following location: 11601 S Western Ave, Los Angeles, CA, 900475006.
What is Gwendolyn Y Tyson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gwendolyn Y Tyson is Marriage & Family Therapist, and the taxonomy code that categorizes this field of expertise is 106H00000X.
On what date did the Gwendolyn Y Tyson receive its 1568592491 assignment from the Centers for Medicare & Medicaid Services?
The Gwendolyn Y Tyson was assigned its 1568592491 by the Centers for Medicare & Medicaid Services on 2007-03-07.
When was the information pertaining to Gwendolyn Y Tyson most recently updated or revised?
The details related to Gwendolyn Y Tyson, including its address, specialty, and other relevant information, were last updated or revised on 2018-05-11.
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