Brad S. Rudd in San Luis Obispo - Marriage & Family Therapist
Brad S. Rudd - NPI 1417174459
Brad S. Rudd is a Marriage & Family Therapist in San Luis Obispo, California. Brad S. Rudd practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Brad S. Rudd is 1417174459. The last update date is 2007-07-08.
Brad S. Rudd's current location address is 569 Higuera St, San Luis Obispo, California. You can contact this provider via phone number 8055410553 and fax number 8055410554. The mailing address for Brad S. Rudd is 569 Higuera St, San Luis Obispo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brad S. Rudd |
|---|---|
| Address | 569 Higuera St, San Luis Obispo, California |
| Phone Number | 8055410553 |
| Fax Number | 8055410554 |
| Sole Proprietor | Y |
| Credentials | L.M.F.T. |
NPI Number Detail
| NPI Number | 1417174459 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 569 Higuera St |
|---|---|
| City | San Luis Obispo |
| State | California (CA) |
| Post Code | 934013861 |
| Phone Number | 8055410553 |
| Fax Number | 8055410554 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC35299 |
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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 issued to Brad S. Rudd by the Centers for Medicare & Medicaid Services?
The Brad S. Rudd has been assigned the NPI (National Provider Identifier) 1417174459 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Brad S. Rudd's facilities are situated?
The facilities of Brad S. Rudd are physically located at the following address: 569 Higuera St, San Luis Obispo, CA, 934013861.
What is Brad S. Rudd's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brad S. Rudd is Marriage & Family Therapist, and the taxonomy code that classifies this field of practice is 106H00000X.
On what date was the 1417174459 assigned to Brad S. Rudd?
The Brad S. Rudd was issued its 1417174459 on 2007-04-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Brad S. Rudd most recently updated or revised?
The information pertaining to Brad S. Rudd, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.