Joe Randall Wilson in Fresno - Licensed Psychiatric Technician
Joe Randall Wilson - NPI 1922167345
Joe Randall Wilson is a Licensed Psychiatric Technician in Fresno, California. Joe Randall Wilson practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Joe Randall Wilson is 1922167345. The last update date is 2007-07-08.
Joe Randall Wilson's current location address is 2171 N Fine Ave, Fresno, California. You can contact this provider via phone number 5594552000 and fax number 5594552041. The mailing address for Joe Randall Wilson is 2171 N Fine Ave, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joe Randall Wilson |
|---|---|
| Address | 2171 N Fine Ave, Fresno, California |
| Phone Number | 5594552000 |
| Fax Number | 5594552041 |
| Sole Proprietor | N |
| Credentials | LPT |
NPI Number Detail
| NPI Number | 1922167345 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2171 N Fine Ave |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937271519 |
| Phone Number | 5594552000 |
| Fax Number | 5594552041 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
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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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Post Comment/ Review Below
What is the Joe Randall Wilson's unique identification number?
The Joe Randall Wilson has been assigned the NPI (National Provider Identifier) Number 1922167345 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Joe Randall Wilson is geographically located?
The Joe Randall Wilson is physically situated at the following location: 2171 N Fine Ave, Fresno, CA, 937271519.
What is the Joe Randall Wilson's specialty and taxonomy code?
The Joe Randall Wilson's specialty is Licensed Psychiatric Technician, and the corresponding taxonomy code is 167G00000X.
On what date was the 1922167345 assigned to Joe Randall Wilson?
The Joe Randall Wilson was issued its 1922167345 on 2006-12-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Joe Randall Wilson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Joe Randall Wilson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.