Leo Adcock in Fresno - Licensed Psychiatric Technician
Leo Adcock - NPI 1043480890
Leo Adcock is a Licensed Psychiatric Technician in Fresno, California. Leo Adcock practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Leo Adcock is 1043480890. The last update date is 2008-03-07.
Leo Adcock's current location address is 1225 M St, Fresno, California. You can contact this provider via phone number 5594422404 and fax number 5594425277. The mailing address for Leo Adcock is 1225 M St, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leo Adcock |
|---|---|
| Address | 1225 M St, Fresno, California |
| Phone Number | 5594422404 |
| Fax Number | 5594425277 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1043480890 |
|---|---|
| Provider Enumeration Date | 2008-03-07 |
| Last Updated Date | 2008-03-07 |
Provider Mailing Address Detail
| Address | 1225 M St |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937211805 |
| Phone Number | 5594422404 |
| Fax Number | 5594425277 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | 31089 |
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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 unique identifier code issued to Leo Adcock by the Centers for Medicare & Medicaid Services?
The Leo Adcock has been assigned the NPI (National Provider Identifier) 1043480890. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Leo Adcock?
The Leo Adcock is situated at 1225 M St, in the city of Fresno, state of CA, with the zip code 937211805.
What is Leo Adcock's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Leo Adcock is Licensed Psychiatric Technician, and the taxonomy code that classifies this field of practice is 167G00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1043480890 to Leo Adcock?
The Leo Adcock received its 1043480890 assignment from the Centers for Medicare & Medicaid Services on 2008-03-07.
As of what date were the Leo Adcock's details last updated?
The information pertaining to the Leo Adcock, including its address, specialty, and other details, was most recently updated on 2008-03-07.