Wilaim David Boorman in Atascadero - Licensed Psychiatric Technician

Wilaim David Boorman - NPI 1235297136

Wilaim David Boorman is a Licensed Psychiatric Technician in Atascadero, California. Wilaim David Boorman practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Wilaim David Boorman is 1235297136. The last update date is 2007-07-08.

Wilaim David Boorman's current location address is 7455 Balboa Rd, Atascadero, California. You can contact this provider via phone number 8054666206. The mailing address for Wilaim David Boorman is 7455 Balboa Rd, Atascadero, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Wilaim David Boorman
Address 7455 Balboa Rd, Atascadero, California
Phone Number 8054666206
Fax Number
Sole Proprietor N
Credentials PSYCHIATRI

NPI Number Detail

NPI Number 1235297136
Provider Enumeration Date 2006-12-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7455 Balboa Rd
City Atascadero
State California (CA)
Post Code 934221188
Phone Number 8054666206
Fax Number

Provider's Primary Taxonomy Detail

Speciality Licensed Psychiatric Technician
Taxonomy 167G00000X
Licence No PT 28462
Definition:
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psych

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FAQs about Wilaim David Boorman

What is the unique identifier code issued to Wilaim David Boorman by the Centers for Medicare & Medicaid Services?

The Wilaim David Boorman has been assigned the NPI (National Provider Identifier) 1235297136. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Wilaim David Boorman's facilities are geographically located?

The facilities of Wilaim David Boorman are physically situated at the following location: 7455 Balboa Rd, Atascadero, CA, 934221188.

What is Wilaim David Boorman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Wilaim David Boorman is Licensed Psychiatric Technician, and the taxonomy code that classifies this field of practice is 167G00000X.

When was the Wilaim David Boorman's 1235297136 issued?

The Wilaim David Boorman's 1235297136 was issued on 2006-12-04.

When was the information regarding Wilaim David Boorman most recently updated?

The details pertaining to the Wilaim David Boorman, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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