Larry Clinton Powell in San Jose - Marriage & Family Therapist
Larry Clinton Powell - NPI 1457485310
Larry Clinton Powell is a Marriage & Family Therapist in San Jose, California. Larry Clinton Powell practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Larry Clinton Powell is 1457485310. The last update date is 2014-07-28.
Larry Clinton Powell's current location address is 540 Patton Ave, San Jose, California. You can contact this provider via phone number 4082560459 and fax number 4084577190. The mailing address for Larry Clinton Powell is 540 Patton Ave, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Clinton Powell |
|---|---|
| Address | 540 Patton Ave, San Jose, California |
| Phone Number | 4082560459 |
| Fax Number | 4084577190 |
| Sole Proprietor | Y |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1457485310 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2014-07-28 |
Provider Mailing Address Detail
| Address | 540 Patton Ave |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951282150 |
| Phone Number | 4082560459 |
| Fax Number | 4084577190 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC 46424 |
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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 Larry Clinton Powell by the Centers for Medicare & Medicaid Services?
The Larry Clinton Powell has been issued the NPI (National Provider Identifier) 1457485310 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Larry Clinton Powell's physical address?
The Larry Clinton Powell is physically located at 540 Patton Ave, in the city of San Jose, CA, with the postal code 951282150.
What is Larry Clinton Powell's area of expertise and its corresponding taxonomy classification?
The Larry Clinton Powell's field of specialization is Marriage & Family Therapist, and it falls under the taxonomy code 106H00000X, which categorizes healthcare providers based on their areas of practice.
When was the Larry Clinton Powell's 1457485310 issued?
The Larry Clinton Powell's 1457485310 was issued on 2007-03-15.
When was the information regarding Larry Clinton Powell, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Larry Clinton Powell, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-07-28.