Needleman, Marty Craig

Needleman, Marty Craig is an sole proprietor health care provider with primary practice located at 2055 Kellogg Ave , Corona CA 92879-3111. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Needleman, Marty Craig can be contacted via phone (951) 898-7119.

Contact Information

Primary practice address
2055 Kellogg Ave Corona CA 92879-3111
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT 28206 California

Profile Details

NPI number 1902002769
LBN Legal business name Needleman, Marty Craig
Credentials L.M.F.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2007
Last updated Dec 14th, 2021 - about 3 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 1902002769 NPPES
California Other MFT28206 LMFT NUMBER

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