Benjamin Ainley, LMFT

Individual provider Active NPI Marriage & Family Therapist · Visalia, CA

NPI 1992039465 · NPPES record last updated Jan 19, 2016

Key facts

NPI
1992039465
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
89391 (CA)
Practice address
520 E Tulare Ave
Visalia, CA 93292-3629
Phone
(559) 623-0900
NPI assigned
Sep 30, 2009
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 89391 CA Yes

Addresses

Primary practice location

520 E Tulare Ave
Visalia, CA 93292-3629

Mailing address

5957 S Mooney Blvd
Visalia, CA 93277-9394
Phone (559) 623-0900

Other providers in Visalia, CA

All providers in Visalia, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.