1700150034 NPI number — CANDICE MARIE HILDEBRAND-SHIPLEY LMFT

Table of content: CANDICE MARIE HILDEBRAND-SHIPLEY LMFT (NPI 1700150034)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700150034 NPI number — CANDICE MARIE HILDEBRAND-SHIPLEY LMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HILDEBRAND-SHIPLEY
Provider First Name:
CANDICE
Provider Middle Name:
MARIE
Provider Name Prefix Text:
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:
1700150034
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/20/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1330 W RAMSEY ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BANNING
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92220-4477
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
951-731-9533
Provider Business Mailing Address Fax Number:
760-288-3752

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1330 W RAMSEY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BANNING
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92220-4477
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-731-9533
Provider Business Practice Location Address Fax Number:
760-288-3752
Provider Enumeration Date:
03/05/2012

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:  LMFT90673 , 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)





Copyright © 2007-2026 www.npivalidator.com