1114158995 NPI number — MS. PATRICIA VALENE HUBLER MFT

Table of content: MS. PATRICIA VALENE HUBLER MFT (NPI 1114158995)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114158995 NPI number — MS. PATRICIA VALENE HUBLER MFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VALENE HUBLER
Provider First Name:
PATRICIA
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
VALENE
Provider Other First Name:
PATRICIA
Provider Other Middle Name:
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MFT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1114158995
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/30/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
730 LA GUARDIA
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SALINAS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93905
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
831-796-3312
Provider Business Mailing Address Fax Number:
530-993-6759

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
704 MILL STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOYALTON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96118-0265
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-993-6719
Provider Business Practice Location Address Fax Number:
530-993-6759
Provider Enumeration Date:
07/28/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  28782 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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