Bethany Laura Van Dyke in San Rafael - Marriage & Family Therapist
Bethany Laura Van Dyke - NPI 1326115882
Bethany Laura Van Dyke is a Marriage & Family Therapist in San Rafael, California. Bethany Laura Van Dyke practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Bethany Laura Van Dyke is 1326115882. The last update date is 2022-02-11.
Bethany Laura Van Dyke's current location address is 711 D St, San Rafael, California. You can contact this provider via phone number 4154555887. The mailing address for Bethany Laura Van Dyke is 711 D St, San Rafael, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bethany Laura Van Dyke |
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Address | 711 D St, San Rafael, California |
Phone Number | 4154555887 |
Fax Number | |
Sole Proprietor | Y |
Credentials | M.F.T. |
NPI Number Detail
NPI Number | 1326115882 |
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Provider Enumeration Date | 2006-11-29 |
Last Updated Date | 2022-02-11 |
Provider Mailing Address Detail
Address | 711 D St |
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City | San Rafael |
State | California (CA) |
Post Code | 949013707 |
Phone Number | 4154555887 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Marriage & Family Therapist |
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Taxonomy | 106H00000X |
Licence No | MFC44424 |
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 identification code assigned to Bethany Laura Van Dyke by the Centers for Medicare & Medicaid Services?
The Bethany Laura Van Dyke has been issued the NPI (National Provider Identifier) 1326115882, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Bethany Laura Van Dyke is physically located?
The Bethany Laura Van Dyke is physically situated at the following address: 711 D St, San Rafael, CA, 949013707.
What is Bethany Laura Van Dyke's area of expertise and its corresponding taxonomy classification?
The Bethany Laura Van Dyke'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.
On what date did the Centers for Medicare & Medicaid Services assign the 1326115882 to Bethany Laura Van Dyke?
The Centers for Medicare & Medicaid Services assigned the 1326115882 to Bethany Laura Van Dyke on 2006-11-29.
As of what date were the details related to Bethany Laura Van Dyke most recently updated or revised?
The information pertaining to Bethany Laura Van Dyke, including its address, specialty, and other relevant details, was last updated or revised on 2022-02-11.