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Provider Information for 1366681686


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MICHELLE NAIDENOFF M.F.T.


Sex: Female

NPI: 1366681686
Last Updated: 2009-02-10
Certification Date:

Details

NameValue
NPI1366681686
Enumeration Date2009-02-10
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address PO BOX 131341
CARLSBAD, CA 92013-1341
United States

Phone: 760-525-9418 | Fax:
 
Primary Practice Address 317 N EL CAMINO REAL
SUITE 101
ENCINITAS, CA 92024-2811
United States

Phone: 760-525-9418 | 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 CAMFC44565