Stacey Diane Tannenbaum in Burbank - Marriage & Family Therapist
Stacey Diane Tannenbaum - NPI 1114056629
Stacey Diane Tannenbaum is a Marriage & Family Therapist in Burbank, California. Stacey Diane Tannenbaum practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Stacey Diane Tannenbaum is 1114056629. The last update date is 2007-07-08.
Stacey Diane Tannenbaum's current location address is 601 S Glenoaks Blvd, Burbank, California. You can contact this provider via phone number 8184417800. The mailing address for Stacey Diane Tannenbaum is 601 S Glenoaks Blvd, Burbank, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey Diane Tannenbaum |
|---|---|
| Address | 601 S Glenoaks Blvd, Burbank, California |
| Phone Number | 8184417800 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MA. L.M.F. |
NPI Number Detail
| NPI Number | 1114056629 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 601 S Glenoaks Blvd |
|---|---|
| City | Burbank |
| State | California (CA) |
| Post Code | 915021474 |
| Phone Number | 8184417800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC33404 |
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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 provider identifier assigned to Stacey Diane Tannenbaum?
The Stacey Diane Tannenbaum has been issued the NPI (National Provider Identifier) 1114056629 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Stacey Diane Tannenbaum located?
The Stacey Diane Tannenbaum is located at 601 S Glenoaks Blvd, Burbank, CA 915021474.
What is Stacey Diane Tannenbaum's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Stacey Diane Tannenbaum is Marriage & Family Therapist, and the corresponding taxonomy classification code for this specialized field is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1114056629 to Stacey Diane Tannenbaum?
The Centers for Medicare & Medicaid Services assigned the 1114056629 to Stacey Diane Tannenbaum on 2007-03-02.
When was the information regarding Stacey Diane Tannenbaum most recently updated?
The details pertaining to the Stacey Diane Tannenbaum, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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