Chruden, Marybeth

Chruden, Marybeth is an individual health care provider with primary practice located at 767 Academy Dr , Solana Beach CA 92075. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Chruden, Marybeth can be contacted via phone (858) 481-7346.

Contact Information

Primary practice address
767 Academy Dr Solana Beach CA 92075
Phone: (858) 481-7346
Fax: (858) 793-4406
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LSW10349 California

Profile Details

NPI number 1134180037
LBN Legal business name Chruden, Marybeth
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134180037 NPPES
California MEDICAID CSW103490

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