Nancy Ilene Gump in San Anselmo - Marriage & Family Therapist
Nancy Ilene Gump - NPI 1386740652
Nancy Ilene Gump is a Marriage & Family Therapist in San Anselmo, California. Nancy Ilene Gump practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Nancy Ilene Gump is 1386740652. The last update date is 2007-07-08.
Nancy Ilene Gump's current location address is 407 San Anselmo Ave, San Anselmo, California. You can contact this provider via phone number 4154535333 and fax number 4154546816. The mailing address for Nancy Ilene Gump is 407 San Anselmo Ave, San Anselmo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nancy Ilene Gump |
|---|---|
| Address | 407 San Anselmo Ave, San Anselmo, California |
| Phone Number | 4154535333 |
| Fax Number | 4154546816 |
| Sole Proprietor | Y |
| Credentials | MFT |
NPI Number Detail
| NPI Number | 1386740652 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 407 San Anselmo Ave |
|---|---|
| City | San Anselmo |
| State | California (CA) |
| Post Code | 949602664 |
| Phone Number | 4154535333 |
| Fax Number | 4154546816 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC25530 |
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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 identifier code assigned to Nancy Ilene Gump by the Centers for Medicare & Medicaid Services?
The Nancy Ilene Gump has been issued the NPI (National Provider Identifier) 1386740652 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Nancy Ilene Gump is physically located?
The Nancy Ilene Gump is situated at the following address: 407 San Anselmo Ave, San Anselmo, CA 949602664.
What is Nancy Ilene Gump's specialized field of practice, and what is the corresponding taxonomy classification code?
The Nancy Ilene Gump'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 Centers for Medicare & Medicaid Services issue the 1386740652 to Nancy Ilene Gump?
The Nancy Ilene Gump received its 1386740652 assignment from the Centers for Medicare & Medicaid Services on 2006-09-15.
When was the Nancy Ilene Gump's information last updated?
The Nancy Ilene Gump's information was last updated on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY