Matthew Troy Bovenkerk in Modesto - Marriage & Family Therapist
Matthew Troy Bovenkerk - NPI 1144354309
Matthew Troy Bovenkerk is a Marriage & Family Therapist in Modesto, California. Matthew Troy Bovenkerk practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Matthew Troy Bovenkerk is 1144354309. The last update date is 2023-06-10.
Matthew Troy Bovenkerk's current location address is Po Box 4811, Modesto, California. You can contact this provider via phone number 2096021144 and fax number 2097261209. The mailing address for Matthew Troy Bovenkerk is Po Box 4811, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Troy Bovenkerk |
|---|---|
| Address | Po Box 4811, Modesto, California |
| Phone Number | 2096021144 |
| Fax Number | 2097261209 |
| Sole Proprietor | Y |
| Credentials | MS, LMFT |
NPI Number Detail
| NPI Number | 1144354309 |
|---|---|
| Provider Enumeration Date | 2007-03-16 |
| Last Updated Date | 2023-06-10 |
Provider Mailing Address Detail
| Address | Po Box 4811 |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953524811 |
| Phone Number | 2096021144 |
| Fax Number | 2097261209 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC41226 |
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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 provider identifier assigned to Matthew Troy Bovenkerk?
The Matthew Troy Bovenkerk has been issued the NPI (National Provider Identifier) 1144354309 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Matthew Troy Bovenkerk is physically located?
The Matthew Troy Bovenkerk is situated at the following address: Po Box 4811, Modesto, CA 953524811.
What is the area of specialization for Matthew Troy Bovenkerk, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Matthew Troy Bovenkerk is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 106H00000X.
When was the Matthew Troy Bovenkerk's 1144354309 issued?
The Matthew Troy Bovenkerk's 1144354309 was issued on 2007-03-16.
As of what date was the information pertaining to Matthew Troy Bovenkerk, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Matthew Troy Bovenkerk, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-06-10.
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