Polly Brooks Western in Scotts Valley - Marriage & Family Therapist
Polly Brooks Western - NPI 1134396617
Polly Brooks Western is a Marriage & Family Therapist in Scotts Valley, California. Polly Brooks Western practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Polly Brooks Western is 1134396617. The last update date is 2008-05-13.
Polly Brooks Western's current location address is 148 Spreading Oak Dr, Scotts Valley, California. You can contact this provider via phone number 8314610861 and fax number 8314380720. The mailing address for Polly Brooks Western is 148 Spreading Oak Dr, Scotts Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Polly Brooks Western |
|---|---|
| Address | 148 Spreading Oak Dr, Scotts Valley, California |
| Phone Number | 8314610861 |
| Fax Number | 8314380720 |
| Sole Proprietor | Y |
| Credentials | MFCC |
NPI Number Detail
| NPI Number | 1134396617 |
|---|---|
| Provider Enumeration Date | 2008-05-13 |
| Last Updated Date | 2008-05-13 |
Provider Mailing Address Detail
| Address | 148 Spreading Oak Dr |
|---|---|
| City | Scotts Valley |
| State | California (CA) |
| Post Code | 950664605 |
| Phone Number | 8314610861 |
| Fax Number | 8314380720 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFT20435 |
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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 identification code assigned to Polly Brooks Western by the Centers for Medicare & Medicaid Services?
The Polly Brooks Western has been issued the NPI (National Provider Identifier) 1134396617, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Polly Brooks Western located?
The Polly Brooks Western is located at 148 Spreading Oak Dr, Scotts Valley, CA 950664605.
What is Polly Brooks Western's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Polly Brooks Western 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 issue the 1134396617 to Polly Brooks Western?
The Polly Brooks Western received its 1134396617 assignment from the Centers for Medicare & Medicaid Services on 2008-05-13.
As of what date was the information regarding Polly Brooks Western, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Polly Brooks Western, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-13.
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