Agatha N Ihenacho in Gilroy - Licensed Psychiatric Technician
Agatha N Ihenacho - NPI 1871622761
Agatha N Ihenacho is a Licensed Psychiatric Technician in Gilroy, California. Agatha N Ihenacho practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Agatha N Ihenacho is 1871622761. The last update date is 2007-07-08.
Agatha N Ihenacho's current location address is 6381 Blackberry Ct, Gilroy, California. You can contact this provider via phone number 4088489802. The mailing address for Agatha N Ihenacho is 6381 Blackberry Ct, Gilroy, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Agatha N Ihenacho |
|---|---|
| Address | 6381 Blackberry Ct, Gilroy, California |
| Phone Number | 4088489802 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPT |
NPI Number Detail
| NPI Number | 1871622761 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6381 Blackberry Ct |
|---|---|
| City | Gilroy |
| State | California (CA) |
| Post Code | 950203424 |
| Phone Number | 4088489802 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | PT31594 |
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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 Agatha N Ihenacho's unique identification number?
The Agatha N Ihenacho has been assigned the NPI (National Provider Identifier) Number 1871622761 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Agatha N Ihenacho located?
The Agatha N Ihenacho is located at 6381 Blackberry Ct, Gilroy, CA 950203424.
What is the Agatha N Ihenacho's specialty and taxonomy code?
The Agatha N Ihenacho's specialty is Licensed Psychiatric Technician, and the corresponding taxonomy code is 167G00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1871622761 to Agatha N Ihenacho?
The Centers for Medicare & Medicaid Services originally issued the 1871622761 to Agatha N Ihenacho on 2007-03-05.
When was the information related to Agatha N Ihenacho most recently updated or refreshed?
The details pertaining to the Agatha N Ihenacho, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.