Doctor Name: | MARIA CHRISTINA THAMMASEN |
NPI Number: | 1780960245 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1523 Longbranch Ave Ste 201 Grover Beach, CA - 934332508 |
Business Phone Number: | 8054737187 |
Business Fax Number: | |
Mailing Address: | 1523 Longbranch Ave, Ste 201 GROVER BEACH |
State: | CA |
Postal Code: | 934332508 |
Phone Number: | 8054737187 |
Fax Number: | |
NPI Enumeration Date: | 10/28/2011 |
NPI Last Update Date: | 10/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |