Tammi Lynn Clark in Colusa - Licensed Psychiatric Technician
Tammi Lynn Clark - NPI 1578691994
Tammi Lynn Clark is a Licensed Psychiatric Technician in Colusa, California. Tammi Lynn Clark practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Tammi Lynn Clark is 1578691994. The last update date is 2011-07-13.
Tammi Lynn Clark's current location address is 162 E Carson St, Colusa, California. You can contact this provider via phone number 5304580527 and fax number 5304588088. The mailing address for Tammi Lynn Clark is 162 E Carson St, Colusa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tammi Lynn Clark |
|---|---|
| Address | 162 E Carson St, Colusa, California |
| Phone Number | 5304580527 |
| Fax Number | 5304588088 |
| Sole Proprietor | Y |
| Credentials | LPT |
NPI Number Detail
| NPI Number | 1578691994 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2011-07-13 |
Provider Mailing Address Detail
| Address | 162 E Carson St |
|---|---|
| City | Colusa |
| State | California (CA) |
| Post Code | 959322880 |
| Phone Number | 5304580527 |
| Fax Number | 5304588088 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | PT25521 |
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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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What is the Tammi Lynn Clark's 1578691994?
The Tammi Lynn Clark's NPI (National Provider Identifier) Number is 1578691994. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Tammi Lynn Clark's physical address?
The Tammi Lynn Clark is physically located at 162 E Carson St, in the city of Colusa, CA, with the postal code 959322880.
What is Tammi Lynn Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tammi Lynn Clark is Licensed Psychiatric Technician, and the taxonomy code that categorizes this field of expertise is 167G00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578691994 to Tammi Lynn Clark?
The Centers for Medicare & Medicaid Services originally issued the 1578691994 to Tammi Lynn Clark on 2007-02-28.
As of what date were the Tammi Lynn Clark's details last updated?
The information pertaining to the Tammi Lynn Clark, including its address, specialty, and other details, was most recently updated on 2011-07-13.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY