LETICIA ISABEL BANE
NPI 1366911901
Marriage & Family Therapist in San Diego, CA

Q: What is Leticia Bane's NPI number?

The NPI number for Leticia Bane is 1366911901. It was assigned to this individual provider in the NPPES registry on November 13, 2018.

Q: What is Leticia Bane's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Leticia Bane was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 13, 2018

823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102(619) 515-2300 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2023, Nov 13, 2018 (2 updates tracked since 2018).

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About Leticia Isabel Bane NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LETICIA ISABEL BANE (NPI 1366911901) is an individual marriage & family therapist in San Diego, California, licensed in California (LMFT130904) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1366911901

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameLETICIA ISABEL BANE

Location Address823 GATEWAY CENTER WAYSan Diego, CA 92102-4541

Mailing Address1253 Lorna AveEl Cajon, CA 92020-7511 · (619) 655-6364

Phone(619) 515-2300

Sole ProprietorNo

Enumeration DateNovember 13, 2018

Last NPPES UpdateAugust 7, 20232 updates tracked since enumeration

NPPES CertifiedAugust 7, 2023

✔ NPI 1366911901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in CA · LMFT130904✔ Licensed in CA · AMFT109919

Definition

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.

823 GATEWAY CENTER WAY, San Diego, CA 92102

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN KERMOIAN YASZAY NP

Nurse Practitioner (Family)