Provider Demographics
NPI:1467778001
Name:GALVEZ-STRINGHAM, MARCY
Entity Type:Individual
Prefix:
First Name:MARCY
Middle Name:
Last Name:GALVEZ-STRINGHAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 W HOSPITALITY LN
Mailing Address - Street 2:SUITE 312
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408-3243
Mailing Address - Country:US
Mailing Address - Phone:909-386-5545
Mailing Address - Fax:
Practice Address - Street 1:325 W HOSPITALITY LN
Practice Address - Street 2:SUITE 312
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-3243
Practice Address - Country:US
Practice Address - Phone:909-386-5545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-07
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225400000X, 101YM0800X
CA67868101YM0800X
CAIMF 67868106H00000X
CA86779106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health