Kristine Alice Smylie in Santa Monica - Marriage & Family Therapist

Kristine Alice Smylie - NPI 1174790968

Kristine Alice Smylie is a Marriage & Family Therapist in Santa Monica, California. Kristine Alice Smylie practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Kristine Alice Smylie is 1174790968. The last update date is 2008-05-12.

Kristine Alice Smylie's current location address is 156 Hart Ave, Santa Monica, California. You can contact this provider via phone number 3194633870. The mailing address for Kristine Alice Smylie is 156 Hart Ave, Santa Monica, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kristine Alice Smylie
Address 156 Hart Ave, Santa Monica, California
Phone Number 3194633870
Fax Number
Sole Proprietor Y
Credentials MA, MA, MF

NPI Number Detail

NPI Number 1174790968
Provider Enumeration Date 2008-05-12
Last Updated Date 2008-05-12

Provider Mailing Address Detail

Address 156 Hart Ave
City Santa Monica
State California (CA)
Post Code 904053524
Phone Number 3194633870
Fax Number

Provider's Primary Taxonomy Detail

Speciality Marriage & Family Therapist
Taxonomy 106H00000X
Licence No MFC28222
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
550010001050 CA UNITED BEHAVIOR HEALTH
550010001050 CA PACIFICARE BEHAVIORAL HEALTH

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FAQs about Kristine Alice Smylie

What is the unique identifier code issued to Kristine Alice Smylie by the Centers for Medicare & Medicaid Services?

The Kristine Alice Smylie has been assigned the NPI (National Provider Identifier) 1174790968. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Kristine Alice Smylie is physically located?

The Kristine Alice Smylie is situated at the following address: 156 Hart Ave, Santa Monica, CA 904053524.

What is the Kristine Alice Smylie's specialty and taxonomy code?

The Kristine Alice Smylie's specialty is Marriage & Family Therapist, and the corresponding taxonomy code is 106H00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1174790968 to Kristine Alice Smylie?

The Centers for Medicare & Medicaid Services assigned the 1174790968 to Kristine Alice Smylie on 2008-05-12.

As of what date were the Kristine Alice Smylie's details last updated?

The information pertaining to the Kristine Alice Smylie, including its address, specialty, and other details, was most recently updated on 2008-05-12.

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