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 |
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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 |
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Provider Enumeration Date | 2006-11-29 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1975 Long Beach Blvd |
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City | Long Beach |
State | California (CA) |
Post Code | 908065501 |
Phone Number | 5625990814 |
Fax Number | 5625993934 |
Provider's Primary Taxonomy Detail
Speciality | Licensed Psychiatric Technician |
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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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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.