Kristine Haworth Connerly in Fort Wayne - Marriage & Family Therapist
Kristine Haworth Connerly - NPI 1053450940
Kristine Haworth Connerly is a Marriage & Family Therapist in Fort Wayne, Indiana. Kristine Haworth Connerly practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Kristine Haworth Connerly is 1053450940. The last update date is 2007-07-08.
Kristine Haworth Connerly's current location address is 2712 S Calhoun St, Fort Wayne, Indiana. You can contact this provider via phone number 2607444326 and fax number 2607440188. The mailing address for Kristine Haworth Connerly is 2712 S Calhoun St, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristine Haworth Connerly |
|---|---|
| Address | 2712 S Calhoun St, Fort Wayne, Indiana |
| Phone Number | 2607444326 |
| Fax Number | 2607440188 |
| Sole Proprietor | N |
| Credentials | LMFT,LSW |
NPI Number Detail
| NPI Number | 1053450940 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2712 S Calhoun St |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468071402 |
| Phone Number | 2607444326 |
| Fax Number | 2607440188 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 35000747A |
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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 10-digit identifier code issued to Kristine Haworth Connerly by the Centers for Medicare & Medicaid Services?
The Kristine Haworth Connerly has been assigned the NPI (National Provider Identifier) 1053450940 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Kristine Haworth Connerly located?
The Kristine Haworth Connerly is located at 2712 S Calhoun St, Fort Wayne, IN 468071402.
What is Kristine Haworth Connerly's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kristine Haworth Connerly is Marriage & Family Therapist, and the taxonomy code that categorizes this field of expertise is 106H00000X.
On what date did the Kristine Haworth Connerly receive the assignment of its 1053450940 from the Centers for Medicare & Medicaid Services?
The Kristine Haworth Connerly was issued its 1053450940 by the Centers for Medicare & Medicaid Services on 2007-02-06.
When was the information regarding Kristine Haworth Connerly most recently updated?
The details pertaining to the Kristine Haworth Connerly, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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