Phaedra Nicole Scoortis in San Diego - Marriage & Family Therapist
Phaedra Nicole Scoortis - NPI 1093865073
Phaedra Nicole Scoortis is a Marriage & Family Therapist in San Diego, California. Phaedra Nicole Scoortis practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Phaedra Nicole Scoortis is 1093865073. The last update date is 2007-07-08.
Phaedra Nicole Scoortis's current location address is 1412 Lincoln Avenue, San Diego, California. You can contact this provider via phone number 6199720209. The mailing address for Phaedra Nicole Scoortis is 1412 Lincoln Avenue, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phaedra Nicole Scoortis |
|---|---|
| Address | 1412 Lincoln Avenue, San Diego, California |
| Phone Number | 6199720209 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.A., MFT |
NPI Number Detail
| NPI Number | 1093865073 |
|---|---|
| Provider Enumeration Date | 2007-01-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1412 Lincoln Avenue |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921032604 |
| Phone Number | 6199720209 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 43174 |
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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 Phaedra Nicole Scoortis's unique identification number?
The Phaedra Nicole Scoortis has been assigned the NPI (National Provider Identifier) Number 1093865073 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Phaedra Nicole Scoortis is geographically located?
The Phaedra Nicole Scoortis is physically situated at the following location: 1412 Lincoln Avenue, San Diego, CA, 921032604.
What is the Phaedra Nicole Scoortis's specialty and taxonomy code?
The Phaedra Nicole Scoortis's specialty is Marriage & Family Therapist, and the corresponding taxonomy code is 106H00000X.
On what date did the Phaedra Nicole Scoortis receive its 1093865073 assignment from the Centers for Medicare & Medicaid Services?
The Phaedra Nicole Scoortis was assigned its 1093865073 by the Centers for Medicare & Medicaid Services on 2007-01-11.
As of what date were the details pertaining to Phaedra Nicole Scoortis last refreshed?
The information related to the Phaedra Nicole Scoortis, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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