Sean Patrick Myers in San Luis Obispo - Licensed Psychiatric Technician
Sean Patrick Myers - NPI 1063570836
Sean Patrick Myers is a Licensed Psychiatric Technician in San Luis Obispo, California. Sean Patrick Myers practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Sean Patrick Myers is 1063570836. The last update date is 2007-07-08.
Sean Patrick Myers's current location address is 2178 Johnson Ave, San Luis Obispo, California. You can contact this provider via phone number 8057814700 and fax number 8057811272. The mailing address for Sean Patrick Myers is 2178 Johnson Ave, San Luis Obispo, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Sean Patrick Myers |
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Address | 2178 Johnson Ave, San Luis Obispo, California |
Phone Number | 8057814700 |
Fax Number | 8057811272 |
Sole Proprietor | N |
Credentials | LPT |
NPI Number Detail
NPI Number | 1063570836 |
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Provider Enumeration Date | 2006-12-05 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2178 Johnson Ave |
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City | San Luis Obispo |
State | California (CA) |
Post Code | 934014535 |
Phone Number | 8057814700 |
Fax Number | 8057811272 |
Provider's Primary Taxonomy Detail
Speciality | Licensed Psychiatric Technician |
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Taxonomy | 167G00000X |
Licence No | 27043 |
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 provider identifier assigned to Sean Patrick Myers?
The Sean Patrick Myers has been issued the NPI (National Provider Identifier) 1063570836 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Sean Patrick Myers?
The Sean Patrick Myers is physically situated at 2178 Johnson Ave, in the city of San Luis Obispo, state of CA, with the postal code 934014535.
What is the Sean Patrick Myers's area of specialization and corresponding taxonomy classification?
The Sean Patrick Myers's specialty field is Licensed Psychiatric Technician, and it falls under the taxonomy code 167G00000X, which categorizes healthcare providers based on their specialties.
On what date did Sean Patrick Myers receive its 1063570836 assignment from the Centers for Medicare & Medicaid Services?
The Sean Patrick Myers was assigned its 1063570836 on 2006-12-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Sean Patrick Myers most recently updated or revised?
The information pertaining to Sean Patrick Myers, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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