Petrina Mcgowen in Jensen Beach - Marriage & Family Therapist
Petrina Mcgowen - NPI 1942466941
Petrina Mcgowen is a Marriage & Family Therapist in Jensen Beach, Florida. Petrina Mcgowen practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Petrina Mcgowen is 1942466941. The last update date is 2018-09-14.
Petrina Mcgowen's current location address is 3768 Ne Melba Dr, Jensen Beach, Florida. You can contact this provider via phone number 7727082830 and fax number 7722373750. The mailing address for Petrina Mcgowen is 3768 Ne Melba Dr, Jensen Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Petrina Mcgowen |
|---|---|
| Address | 3768 Ne Melba Dr, Jensen Beach, Florida |
| Phone Number | 7727082830 |
| Fax Number | 7722373750 |
| Sole Proprietor | Y |
| Credentials | LMFT, RDT |
NPI Number Detail
| NPI Number | 1942466941 |
|---|---|
| Provider Enumeration Date | 2008-07-30 |
| Last Updated Date | 2018-09-14 |
Provider Mailing Address Detail
| Address | 3768 Ne Melba Dr |
|---|---|
| City | Jensen Beach |
| State | Florida (FL) |
| Post Code | 349573867 |
| Phone Number | 7727082830 |
| Fax Number | 7722373750 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MT2331 |
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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 provider identifier assigned to Petrina Mcgowen?
The Petrina Mcgowen has been issued the NPI (National Provider Identifier) 1942466941 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 Petrina Mcgowen is physically located?
The Petrina Mcgowen is physically situated at the following address: 3768 Ne Melba Dr, Jensen Beach, FL, 349573867.
What is Petrina Mcgowen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Petrina Mcgowen's specialized field of practice is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1942466941 to Petrina Mcgowen?
The Petrina Mcgowen received its 1942466941 assignment from the Centers for Medicare & Medicaid Services on 2008-07-30.
As of what date were the Petrina Mcgowen's details last updated?
The information pertaining to the Petrina Mcgowen, including its address, specialty, and other details, was most recently updated on 2018-09-14.