S. Bruce Boettcher in Santa Clara - Marriage & Family Therapist
S. Bruce Boettcher - NPI 1417090812
S. Bruce Boettcher is a Marriage & Family Therapist in Santa Clara, Utah. S. Bruce Boettcher practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for S. Bruce Boettcher is 1417090812. The last update date is 2007-07-08.
S. Bruce Boettcher's current location address is 2498 Concord Ave, Santa Clara, Utah. You can contact this provider via phone number 4356280624 and fax number 4356749380. The mailing address for S. Bruce Boettcher is 2498 Concord Ave, Santa Clara, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | S. Bruce Boettcher |
|---|---|
| Address | 2498 Concord Ave, Santa Clara, Utah |
| Phone Number | 4356280624 |
| Fax Number | 4356749380 |
| Sole Proprietor | Y |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1417090812 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2498 Concord Ave |
|---|---|
| City | Santa Clara |
| State | Utah (UT) |
| Post Code | 847655621 |
| Phone Number | 4356280624 |
| Fax Number | 4356749380 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 319524-3902 |
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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 identification code issued to S. Bruce Boettcher by the Centers for Medicare & Medicaid Services?
The S. Bruce Boettcher has been assigned the NPI (National Provider Identifier) 1417090812 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the S. Bruce Boettcher's physical address?
The S. Bruce Boettcher is physically located at 2498 Concord Ave, in the city of Santa Clara, UT, with the postal code 847655621.
What is the area of specialization for S. Bruce Boettcher, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for S. Bruce Boettcher is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 106H00000X.
On what date did the S. Bruce Boettcher receive its 1417090812 assignment from the Centers for Medicare & Medicaid Services?
The S. Bruce Boettcher was assigned its 1417090812 by the Centers for Medicare & Medicaid Services on 2007-02-15.
When was the S. Bruce Boettcher's information last updated?
The S. Bruce Boettcher's information was last updated on 2007-07-08.
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