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Provider Information for 1306272661


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Mrs. MICHAL MIRIAM POMERANETZ LMFT


Sex: Female

NPI: 1306272661
Last Updated: 2013-09-20
Certification Date:

Details

NameValue
NPI1306272661
Enumeration Date2013-09-18
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1060 ESTES ST
EL CAJON, CA 92020-7411
United States

Phone: 619-440-5133 | Fax:
 
Primary Practice Address 1060 ESTES ST
EL CAJON, CA 92020-7411
United States

Phone: 619-440-5133 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist CA53883