Diane Domeier in Modesto - Marriage & Family Therapist
Diane Domeier - NPI 1508068529
Diane Domeier is a Marriage & Family Therapist in Modesto, California. Diane Domeier practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Diane Domeier is 1508068529. The last update date is 2022-07-21.
Diane Domeier's current location address is 1729 Tully Road, Modesto, California. You can contact this provider via phone number 2094506563 and fax number 2092840408. The mailing address for Diane Domeier is 1729 Tully Road, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Domeier |
|---|---|
| Address | 1729 Tully Road, Modesto, California |
| Phone Number | 2094506563 |
| Fax Number | 2092840408 |
| Sole Proprietor | Y |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1508068529 |
|---|---|
| Provider Enumeration Date | 2007-06-01 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 1729 Tully Road |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 95350 |
| Phone Number | 2094506563 |
| Fax Number | 2092840408 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 80621 |
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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 identifier code issued to Diane Domeier by the Centers for Medicare & Medicaid Services?
The Diane Domeier has been assigned the NPI (National Provider Identifier) 1508068529. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Diane Domeier is geographically located?
The Diane Domeier is physically situated at the following location: 1729 Tully Road, Modesto, CA, 95350.
What is Diane Domeier's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Diane Domeier is Marriage & Family Therapist, and the taxonomy classification code that categorizes this area of expertise is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1508068529 to Diane Domeier?
The Diane Domeier received its 1508068529 assignment from the Centers for Medicare & Medicaid Services on 2007-06-01.
When was the information related to Diane Domeier most recently updated or refreshed?
The details pertaining to the Diane Domeier, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-21.
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