1467907220 NPI number — MS. REBECCA LOUISE RING LMFT

Table of content: MS. REBECCA LOUISE RING LMFT (NPI 1467907220)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467907220 NPI number — MS. REBECCA LOUISE RING LMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RING
Provider First Name:
REBECCA
Provider Middle Name:
LOUISE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LMFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467907220
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/22/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 903
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CONCORD
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94522-0903
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
831-539-9002
Provider Business Mailing Address Fax Number:
800-507-4284

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1350 HAYES ST
Provider Second Line Business Practice Location Address:
SUITE A13
Provider Business Practice Location Address City Name:
BENICIA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94510-2945
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
831-539-9002
Provider Business Practice Location Address Fax Number:
800-507-4284
Provider Enumeration Date:
08/22/2016

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:  38426 , 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)