Kathleen Louise Bradley in Cobb - Licensed Psychiatric Technician

Kathleen Louise Bradley - NPI 1376690776

Kathleen Louise Bradley is a Licensed Psychiatric Technician in Cobb, California. Kathleen Louise Bradley practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Kathleen Louise Bradley is 1376690776. The last update date is 2007-07-08.

Kathleen Louise Bradley's current location address is P.o. Box 671, Cobb, California. You can contact this provider via phone number 7079286712. The mailing address for Kathleen Louise Bradley is P.o. Box 671, Cobb, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathleen Louise Bradley
Address P.o. Box 671, Cobb, California
Phone Number 7079286712
Fax Number
Sole Proprietor Y
Credentials P. T.

NPI Number Detail

NPI Number 1376690776
Provider Enumeration Date 2007-01-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address P.o. Box 671
City Cobb
State California (CA)
Post Code 954260671
Phone Number 7079286712
Fax Number

Provider's Primary Taxonomy Detail

Speciality Licensed Psychiatric Technician
Taxonomy 167G00000X
Licence No PT 30664
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 Kathleen Louise Bradley

What is the unique identifier code issued to Kathleen Louise Bradley by the Centers for Medicare & Medicaid Services (CMS)?

The Kathleen Louise Bradley has been assigned the NPI (National Provider Identifier) 1376690776. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Kathleen Louise Bradley is physically located?

The Kathleen Louise Bradley is physically situated at the following address: P.O. Box 671, Cobb, CA, 954260671.

What is the area of specialization for Kathleen Louise Bradley, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kathleen Louise Bradley is Licensed Psychiatric Technician, and the corresponding taxonomy code that categorizes this area of expertise is 167G00000X.

When was the Kathleen Louise Bradley's 1376690776 issued?

The Kathleen Louise Bradley's 1376690776 was issued on 2007-01-05.

When was the information pertaining to Kathleen Louise Bradley most recently updated or revised?

The details related to Kathleen Louise Bradley, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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