1992907653 NPI number — MRS. VIRGINIA CAROL CAMMARANO M.A., L.M.F.T.

Table of content: MRS. VIRGINIA CAROL CAMMARANO M.A., L.M.F.T. (NPI 1992907653)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992907653 NPI number — MRS. VIRGINIA CAROL CAMMARANO M.A., L.M.F.T.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CAMMARANO
Provider First Name:
VIRGINIA
Provider Middle Name:
CAROL
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.A., L.M.F.T.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CAMMARANO
Provider Other First Name:
GINNY
Provider Other Middle Name:
CAROL
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.A. L.M.F.T.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1992907653
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
29353 HIDDEN OAK PL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SANTA CLARITA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91387-5907
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
661-755-6969
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23030 LYONS AVE
Provider Second Line Business Practice Location Address:
SUITE 205
Provider Business Practice Location Address City Name:
NEWHALL
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91321-2752
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-755-6965
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/04/2007

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:  MFT144059 , 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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