Provider Demographics
NPI:1962614727
Name:CUMMINGS, MAUREEN JANE (MA, MFT)
Entity type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:JANE
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1519 CONTRA COSTA BLVD
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-3054
Mailing Address - Country:US
Mailing Address - Phone:925-639-8166
Mailing Address - Fax:925-274-9471
Practice Address - Street 1:1519 CONTRA COSTA BLVD
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-3054
Practice Address - Country:US
Practice Address - Phone:925-639-8166
Practice Address - Fax:925-274-9471
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 44691106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist