Kenneth L Mattison in Rancho Cucamonga - Marriage & Family Therapist
Kenneth L Mattison - NPI 1386790285
Kenneth L Mattison is a Marriage & Family Therapist in Rancho Cucamonga, California. Kenneth L Mattison practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Kenneth L Mattison is 1386790285. The last update date is 2018-11-12.
Kenneth L Mattison's current location address is 9327 Fairway View Pl Ste 110, Rancho Cucamonga, California. You can contact this provider via phone number 994533309 and fax number 9099451031. The mailing address for Kenneth L Mattison is 9327 Fairway View Pl Ste 110, Rancho Cucamonga, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth L Mattison |
|---|---|
| Address | 9327 Fairway View Pl Ste 110, Rancho Cucamonga, California |
| Phone Number | 994533309 |
| Fax Number | 9099451031 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1386790285 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2018-11-12 |
Provider Mailing Address Detail
| Address | 9327 Fairway View Pl Ste 110 |
|---|---|
| City | Rancho Cucamonga |
| State | California (CA) |
| Post Code | 917300969 |
| Phone Number | 994533309 |
| Fax Number | 9099451031 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC34041 |
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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 Kenneth L Mattison's 1386790285?
The Kenneth L Mattison's NPI (National Provider Identifier) Number is 1386790285. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kenneth L Mattison?
The Kenneth L Mattison is physically situated at 9327 Fairway View Pl Ste 110, in the city of Rancho Cucamonga, state of CA, with the postal code 917300969.
What is Kenneth L Mattison's area of expertise and its corresponding taxonomy classification?
The Kenneth L Mattison's field of specialization is Marriage & Family Therapist, and it falls under the taxonomy code 106H00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Kenneth L Mattison receive its 1386790285 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth L Mattison was assigned its 1386790285 by the Centers for Medicare & Medicaid Services on 2007-01-25.
When was the information regarding Kenneth L Mattison most recently updated?
The details pertaining to the Kenneth L Mattison, including its address, specialty, and other relevant information, were last refreshed on 2018-11-12.
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