WANDA L. BROTHERS (NPI# 1558419994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558419994 |
| Entity Type | Individual |
| Full Name | WANDA L. BROTHERS |
| Credential | MFT, S.E.P |
| Practice Address |
1224 10th St Suite 206 Coronado CA 92118-3416 |
| Practice Telephone | 6194371465 |
| Mailing Telephone | 6194371465 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2009-02-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC 43341 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1224 10TH ST SUITE 206 |
| City | CORONADO |
| State | CA |
| Zip Code | 92118-3416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104821479 | Roderick Seites Hall | Psychologist | 1224 10th St, Ste 208, Coronado, CA 92118-3420 | 2005-06-14 |
| 1457728453 | Blair S Arceo | Physical Therapist | 1224 10th St, Suite 204, Coronado, CA 92118-3416 | 2015-08-25 |
| 1912390998 | Laura Milligan | Nurse Practitioner | 1224 10th St, Suite 200, Coronado, CA 92118-3416 | 2015-03-14 |
| 1326450255 | Results Rehabilitation Inc | Physical Therapist | 1224 10th St, Suite 204, Coronado, CA 92118-3416 | 2014-05-27 |
| 1417373937 | Michelle Satake Baxter | Physical Therapist | 1224 10th St, Suite 204, Coronado, CA 92118-3416 | 2014-03-07 |
| 1033368741 | Laura Norton Petrovich Md PC | Internal Medicine | 1224 10th St, Suite 200, Coronado, CA 92118-3416 | 2008-09-17 |
| 1053597641 | Asha Devereaux, Md, Mph A Professional Corporation | Specialist | 1224 10th St, Ste 205, Coronado, CA 92118-3416 | 2008-01-14 |
| 1487842654 | Jennifer Lee Woodson | Family Medicine | 1224 10th St, Suite 200, Coronado, CA 92118-3416 | 2007-10-12 |
| 1417056227 | Results Rehabilitation, Inc. | Clinic/Center | 1224 10th St, Suite 204, Coronado, CA 92118-3416 | 2006-09-21 |
| 1891800116 | Laura Norton Petrovich | Internal Medicine | 1224 10th St, Suite 200, Coronado, CA 92118-3416 | 2006-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962997643 | Natalie Bailey | Dentist | 1010 8th St Ste A, Coronado, CA 92118 | 2018-06-26 |
| 1639661143 | Rebecca L. Frazier | Acupuncturist | 543 Orange Ave., Coronado, CA 92118 | 2018-05-31 |
| 1376046201 | Laura Mead Clapper | Pediatrics | 840 Adella Ave, Coronado, CA 92118 | 2018-03-16 |
| 1154836336 | Sarah R Peck | Occupational Therapy Assistant | 1530 Da Nang Dr Apt C, Coronado, CA 92118 | 2017-12-09 |
| 1962921395 | Jennifer Waidelich | Physical Therapist | 410 E Ave, Coronado, CA 92118 | 2017-09-18 |
| 1861843641 | Cliff Lovick I | Counselor | 1522 Frist St. Apt M 106, Coronada, CA 92118 | 2016-06-23 |
| 1184004871 | Melanie Villalobos | Dentist | 1001 B Ave #313, Coronado, CA 92118 | 2015-06-08 |
| 1801273479 | Jacqueline Brogan | Dermatology | 230 Prospect Pl Ste 260, Coronado, CA 92118 | 2015-05-02 |
| 1790184083 | Robert Cole Dunlap | Optometrist | 810 J Avenue, Coronado, CA 92118 | 2014-08-22 |
| 1235493602 | Jin Ah | Acupuncturist | 2425 Camino De Rio South, Suite 180, San Diego, CA 92118 | 2012-06-29 |
| Find all providers in zip 92118 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184927600 | Cory Stege | Marriage & Family Therapist | 1330 Orange Ave Ste 312, Coronado, CA 92118-2949 | 2010-12-06 |
| 1083855357 | Lucinda Ann Ribant | Marriage & Family Therapist | 138 B Avenue, Coronado, CA 92118 | 2009-03-17 |
| 1093990913 | Carole A Doherty | Marriage & Family Therapist | 1052 Isabella Ave, Coronado, CA 92118-2859 | 2008-01-09 |
| 1295866655 | Shelby Leah Teeter | Marriage & Family Therapist | 1517 2nd St Apt B210, Coronado, CA 92118 | 2007-03-08 |
| 1538769393 | Darryl William Butson | Marriage & Family Therapist | 549 Orange Ave, Coronado, CA 92118-1826 | 2020-10-29 |
| 1124687199 | Brieana Turner | Marriage & Family Therapist | 158 C Ave, Coronado, CA 92118-1420 | 2019-06-12 |
| 1881257160 | Brianna Meacham, Lmft | Marriage & Family Therapist | 1224 10th St Ste 201, Coronado, CA 92118-3420 | 2019-04-22 |
| 1891959383 | Brianna Pauline Meacham | Marriage & Family Therapist | 158 C Ave, Coronado, CA 92118-1420 | 2008-07-14 |
| 1770662868 | Sandra Jill Boyce | Marriage & Family Therapist | 138 B Ave, Coronado, CA 92118-2442 | 2006-11-02 |
| 1265534796 | Kathleen A Reid | Marriage & Family Therapist | 138 B Ave, Coronado, CA 92118-1511 | 2006-09-04 |
| Find all providers in CORONADO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.