Richard Allen Scroggins in Madera - Licensed Psychiatric Technician
Richard Allen Scroggins - NPI 1629282488
Richard Allen Scroggins is a Licensed Psychiatric Technician in Madera, California. Richard Allen Scroggins practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Richard Allen Scroggins is 1629282488. The last update date is 2007-07-08.
Richard Allen Scroggins's current location address is 1312 De Cesari Ave, Madera, California. You can contact this provider via phone number 5596749259. The mailing address for Richard Allen Scroggins is 1312 De Cesari Ave, Madera, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Allen Scroggins |
|---|---|
| Address | 1312 De Cesari Ave, Madera, California |
| Phone Number | 5596749259 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1629282488 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1312 De Cesari Ave |
|---|---|
| City | Madera |
| State | California (CA) |
| Post Code | 936373026 |
| Phone Number | 5596749259 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | PT 25729 |
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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 10-digit identification code assigned to Richard Allen Scroggins by the Centers for Medicare & Medicaid Services?
The Richard Allen Scroggins has been issued the NPI (National Provider Identifier) 1629282488, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Richard Allen Scroggins is physically located?
The Richard Allen Scroggins is physically situated at the following address: 1312 De Cesari Ave, Madera, CA, 936373026.
What is the Richard Allen Scroggins's specialty and taxonomy code?
The Richard Allen Scroggins's specialty is Licensed Psychiatric Technician, and the corresponding taxonomy code is 167G00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1629282488 to Richard Allen Scroggins?
The Richard Allen Scroggins received its 1629282488 assignment from the Centers for Medicare & Medicaid Services on 2007-05-10.
As of what date were the details pertaining to Richard Allen Scroggins last refreshed?
The information related to the Richard Allen Scroggins, including its address, specialty, and other relevant details, was last updated on 2007-07-08.