Eric Lee Vande Brake in Tulsa - Marriage & Family Therapist
Eric Lee Vande Brake - NPI 1093840332
Eric Lee Vande Brake is a Marriage & Family Therapist in Tulsa, Oklahoma. Eric Lee Vande Brake practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Eric Lee Vande Brake is 1093840332. The last update date is 2007-07-08.
Eric Lee Vande Brake's current location address is 2325 S Harvard, Tulsa, Oklahoma. You can contact this provider via phone number 9187124301 and fax number 9187123409. The mailing address for Eric Lee Vande Brake is 2325 S Harvard, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric Lee Vande Brake |
|---|---|
| Address | 2325 S Harvard, Tulsa, Oklahoma |
| Phone Number | 9187124301 |
| Fax Number | 9187123409 |
| Sole Proprietor | N |
| Credentials | MS LMFT |
NPI Number Detail
| NPI Number | 1093840332 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2325 S Harvard |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 741143300 |
| Phone Number | 9187124301 |
| Fax Number | 9187123409 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 730LMFT |
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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 identification code assigned to Eric Lee Vande Brake by the Centers for Medicare & Medicaid Services?
The Eric Lee Vande Brake has been issued the NPI (National Provider Identifier) 1093840332. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Eric Lee Vande Brake located?
The Eric Lee Vande Brake is located at 2325 S Harvard, Tulsa, OK 741143300.
What is Eric Lee Vande Brake's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Eric Lee Vande Brake is Marriage & Family Therapist, and the taxonomy code that classifies this field of practice is 106H00000X.
On what date did Eric Lee Vande Brake receive its 1093840332 assignment from the Centers for Medicare & Medicaid Services?
The Eric Lee Vande Brake was assigned its 1093840332 on 2007-02-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Eric Lee Vande Brake's details last updated?
The information pertaining to the Eric Lee Vande Brake, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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