Diane Elizabeth Shrock in Petaluma - Marriage & Family Therapist
Diane Elizabeth Shrock - NPI 1861693574
Diane Elizabeth Shrock is a Marriage & Family Therapist in Petaluma, California. Diane Elizabeth Shrock practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Diane Elizabeth Shrock is 1861693574. The last update date is 2007-07-08.
Diane Elizabeth Shrock's current location address is 320 Western Ave, Petaluma, California. You can contact this provider via phone number 7075667712 and fax number 7078293170. The mailing address for Diane Elizabeth Shrock is 320 Western Ave, Petaluma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Elizabeth Shrock |
|---|---|
| Address | 320 Western Ave, Petaluma, California |
| Phone Number | 7075667712 |
| Fax Number | 7078293170 |
| Sole Proprietor | Y |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1861693574 |
|---|---|
| Provider Enumeration Date | 2007-05-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 320 Western Ave |
|---|---|
| City | Petaluma |
| State | California (CA) |
| Post Code | 949522919 |
| Phone Number | 7075667712 |
| Fax Number | 7078293170 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC33832 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Diane Elizabeth Shrock?
The Diane Elizabeth Shrock has been issued the NPI (National Provider Identifier) 1861693574 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Diane Elizabeth Shrock is physically located?
The Diane Elizabeth Shrock is physically situated at the following address: 320 Western Ave, Petaluma, CA, 949522919.
What is Diane Elizabeth Shrock's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Diane Elizabeth Shrock is Marriage & Family Therapist, and the taxonomy classification code that categorizes this area of expertise is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1861693574 to Diane Elizabeth Shrock?
The Centers for Medicare & Medicaid Services assigned the 1861693574 to Diane Elizabeth Shrock on 2007-05-30.
As of what date were the details related to Diane Elizabeth Shrock most recently updated or revised?
The information pertaining to Diane Elizabeth Shrock, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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