Lyle J Sandquist in Destin - Marriage & Family Therapist
Lyle J Sandquist - NPI 1083697544
Lyle J Sandquist is a Marriage & Family Therapist in Destin, Florida. Lyle J Sandquist practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Lyle J Sandquist is 1083697544. The last update date is 2007-07-08.
Lyle J Sandquist's current location address is 215 Mountain Drive, Destin, Florida. You can contact this provider via phone number 8508379100 and fax number 8508377300. The mailing address for Lyle J Sandquist is 215 Mountain Drive, Destin, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lyle J Sandquist |
|---|---|
| Address | 215 Mountain Drive, Destin, Florida |
| Phone Number | 8508379100 |
| Fax Number | 8508377300 |
| Sole Proprietor | X |
| Credentials | PHD LMFT |
NPI Number Detail
| NPI Number | 1083697544 |
|---|---|
| Provider Enumeration Date | 2005-11-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 215 Mountain Drive |
|---|---|
| City | Destin |
| State | Florida (FL) |
| Post Code | 325412346 |
| Phone Number | 8508379100 |
| Fax Number | 8508377300 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MT1053 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Z1714 | FL | BCBS |
Post Comment/ Review Below
What is the Lyle J Sandquist's unique identification number?
The Lyle J Sandquist has been assigned the NPI (National Provider Identifier) Number 1083697544 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Lyle J Sandquist located?
The Lyle J Sandquist is located at 215 Mountain Drive, Destin, FL 325412346.
What is the Lyle J Sandquist's specialty and taxonomy code?
The Lyle J Sandquist's specialty is Marriage & Family Therapist, and the corresponding taxonomy code is 106H00000X.
On what date did the Lyle J Sandquist receive its 1083697544 assignment from the Centers for Medicare & Medicaid Services?
The Lyle J Sandquist was assigned its 1083697544 by the Centers for Medicare & Medicaid Services on 2005-11-29.
As of what date was the information pertaining to Lyle J Sandquist, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lyle J Sandquist, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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