Robert Ellis O'Bryan in Susanville - Marriage & Family Therapist
Robert Ellis O'Bryan - NPI 1649455635
Robert Ellis O'Bryan is a Marriage & Family Therapist in Susanville, California. Robert Ellis O'Bryan practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Robert Ellis O'Bryan is 1649455635. The last update date is 2010-05-21.
Robert Ellis O'Bryan's current location address is 1915 Main St, Susanville, California. You can contact this provider via phone number 5302575900 and fax number 5302575901. The mailing address for Robert Ellis O'Bryan is 1915 Main St, Susanville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Ellis O'Bryan |
|---|---|
| Address | 1915 Main St, Susanville, California |
| Phone Number | 5302575900 |
| Fax Number | 5302575901 |
| Sole Proprietor | Y |
| Credentials | MFT |
NPI Number Detail
| NPI Number | 1649455635 |
|---|---|
| Provider Enumeration Date | 2008-01-08 |
| Last Updated Date | 2010-05-21 |
Provider Mailing Address Detail
| Address | 1915 Main St |
|---|---|
| City | Susanville |
| State | California (CA) |
| Post Code | 961304519 |
| Phone Number | 5302575900 |
| Fax Number | 5302575901 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC 41792 |
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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 identifier code issued to Robert Ellis O'Bryan by the Centers for Medicare & Medicaid Services?
The Robert Ellis O'Bryan has been assigned the NPI (National Provider Identifier) 1649455635. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Robert Ellis O'Bryan's physical address?
The Robert Ellis O'Bryan is physically located at 1915 Main St, in the city of Susanville, CA, with the postal code 961304519.
What is Robert Ellis O'Bryan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Robert Ellis O'Bryan is Marriage & Family Therapist, and the taxonomy code that classifies this field of practice is 106H00000X.
On what date was the 1649455635 assigned to Robert Ellis O'Bryan?
The Robert Ellis O'Bryan was issued its 1649455635 on 2008-01-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Robert Ellis O'Bryan last refreshed?
The information related to the Robert Ellis O'Bryan, including its address, specialty, and other relevant details, was last updated on 2010-05-21.
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