Speyer, Gerald Randall

Speyer, Gerald Randall is an sole proprietor health care provider with primary practice located at 11125 Campus St , Loma Linda CA 92354-3227. 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. Speyer, Gerald Randall can be contacted via phone (909) 558-4570.

Contact Information

Primary practice address
11125 Campus St Loma Linda CA 92354-3227
Phone: (909) 558-4570
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC 42802 California

Profile Details

NPI number 1245354794
LBN Legal business name Speyer, Gerald Randall
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated Oct 9th, 2014 - about 11 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 1245354794 NPPES
California Other MFC 42802 STATE LICENSE

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