Alice Faye Potthast in Twin Falls - Marriage & Family Therapist
Alice Faye Potthast - NPI 1871641324
Alice Faye Potthast is a Marriage & Family Therapist in Twin Falls, Idaho. Alice Faye Potthast practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Alice Faye Potthast is 1871641324. The last update date is 2007-07-08.
Alice Faye Potthast's current location address is 647 Filer Ave, Twin Falls, Idaho. You can contact this provider via phone number 2087379999 and fax number 2087364400. The mailing address for Alice Faye Potthast is 647 Filer Ave, Twin Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Alice Faye Potthast |
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Address | 647 Filer Ave, Twin Falls, Idaho |
Phone Number | 2087379999 |
Fax Number | 2087364400 |
Sole Proprietor | N |
Credentials | M. ED., LM |
NPI Number Detail
NPI Number | 1871641324 |
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Provider Enumeration Date | 2007-01-08 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 647 Filer Ave |
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City | Twin Falls |
State | Idaho (ID) |
Post Code | 833014008 |
Phone Number | 2087379999 |
Fax Number | 2087364400 |
Provider's Primary Taxonomy Detail
Speciality | Marriage & Family Therapist |
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Taxonomy | 106H00000X |
Licence No | LMFT-2899 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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10156782 | ID | REGENCE BLUE SHIELD OF ID | |
10156783 | ID | REGENCE BLUE SHIELD OF ID |
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What is the unique provider identifier assigned to Alice Faye Potthast?
The Alice Faye Potthast has been issued the NPI (National Provider Identifier) 1871641324 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Alice Faye Potthast located?
The Alice Faye Potthast is located at 647 Filer Ave, Twin Falls, ID 833014008.
What is Alice Faye Potthast's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Alice Faye Potthast is Marriage & Family Therapist, and the corresponding taxonomy classification code for this specialized field is 106H00000X.
On what date did Alice Faye Potthast receive its 1871641324 assignment from the Centers for Medicare & Medicaid Services?
The Alice Faye Potthast was assigned its 1871641324 on 2007-01-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Alice Faye Potthast, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Alice Faye Potthast, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.