Fred Emery Stickle in Bowling Green - Marriage & Family Therapist
Fred Emery Stickle - NPI 1124245717
Fred Emery Stickle is a Marriage & Family Therapist in Bowling Green, Kentucky. Fred Emery Stickle practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Fred Emery Stickle is 1124245717. The last update date is 2007-07-08.
Fred Emery Stickle's current location address is 410 East 11th, Bowling Green, Kentucky. You can contact this provider via phone number 2708422102 and fax number 2707825312. The mailing address for Fred Emery Stickle is 410 East 11th, Bowling Green, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fred Emery Stickle |
|---|---|
| Address | 410 East 11th, Bowling Green, Kentucky |
| Phone Number | 2708422102 |
| Fax Number | 2707825312 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1124245717 |
|---|---|
| Provider Enumeration Date | 2007-04-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 410 East 11th |
|---|---|
| City | Bowling Green |
| State | Kentucky (KY) |
| Post Code | 42101 |
| Phone Number | 2708422102 |
| Fax Number | 2707825312 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 48 |
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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 identifier code issued to Fred Emery Stickle by the Centers for Medicare & Medicaid Services (CMS)?
The Fred Emery Stickle has been assigned the NPI (National Provider Identifier) 1124245717. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Fred Emery Stickle is located?
The Fred Emery Stickle is situated at the following address: 410 East 11Th, Bowling Green, KY, 42101.
What is the Fred Emery Stickle's specialty and taxonomy code?
The Fred Emery Stickle's specialty is Marriage & Family Therapist, and the corresponding taxonomy code is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124245717 to Fred Emery Stickle?
The Centers for Medicare & Medicaid Services originally issued the 1124245717 to Fred Emery Stickle on 2007-04-18.
When was the Fred Emery Stickle's information last updated?
The Fred Emery Stickle's information was last updated on 2007-07-08.