Michele D Tyler in Long Beach - Licensed Psychiatric Technician

Michele D Tyler - NPI 1538236815

Michele D Tyler is a Licensed Psychiatric Technician in Long Beach, California. Michele D Tyler practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Michele D Tyler is 1538236815. The last update date is 2007-07-08.

Michele D Tyler's current location address is 1975 Long Beach Blvd, Long Beach, California. You can contact this provider via phone number 5625990814 and fax number 5625993934. The mailing address for Michele D Tyler is 1975 Long Beach Blvd, Long Beach, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Michele D Tyler
Address 1975 Long Beach Blvd, Long Beach, California
Phone Number 5625990814
Fax Number 5625993934
Sole Proprietor Y
Credentials PTII

NPI Number Detail

NPI Number 1538236815
Provider Enumeration Date 2006-11-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1975 Long Beach Blvd
City Long Beach
State California (CA)
Post Code 908065501
Phone Number 5625990814
Fax Number 5625993934

Provider's Primary Taxonomy Detail

Speciality Licensed Psychiatric Technician
Taxonomy 167G00000X
Licence No PT26240
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 Michele D Tyler

What is the unique identifier code issued to Michele D Tyler by the Centers for Medicare & Medicaid Services (CMS)?

The Michele D Tyler has been assigned the NPI (National Provider Identifier) 1538236815. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Michele D Tyler is located?

The Michele D Tyler is situated at the following address: 1975 Long Beach Blvd, Long Beach, CA, 908065501.

What is Michele D Tyler's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Michele D Tyler is Licensed Psychiatric Technician, and the taxonomy code that categorizes this field of expertise is 167G00000X.

On what date did the Michele D Tyler receive its 1538236815 assignment from the Centers for Medicare & Medicaid Services?

The Michele D Tyler was assigned its 1538236815 by the Centers for Medicare & Medicaid Services on 2006-11-29.

When was the information pertaining to Michele D Tyler most recently updated or revised?

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

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