Marie Ann Long in Oakland - Licensed Psychiatric Technician
Marie Ann Long - NPI 1336206572
Marie Ann Long is a Licensed Psychiatric Technician in Oakland, California. Marie Ann Long practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Marie Ann Long is 1336206572. The last update date is 2007-07-08.
Marie Ann Long's current location address is 9909 Bancroft Ave, Oakland, California. You can contact this provider via phone number 5105538500 and fax number 5105538550. The mailing address for Marie Ann Long is 9909 Bancroft Ave, Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marie Ann Long |
|---|---|
| Address | 9909 Bancroft Ave, Oakland, California |
| Phone Number | 5105538500 |
| Fax Number | 5105538550 |
| Sole Proprietor | N |
| Credentials | LPT |
NPI Number Detail
| NPI Number | 1336206572 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9909 Bancroft Ave |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 946032815 |
| Phone Number | 5105538500 |
| Fax Number | 5105538550 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | 22054 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1801983960 | CA | ICM |
Post Comment/ Review Below
What is the unique provider identifier assigned to Marie Ann Long?
The Marie Ann Long has been issued the NPI (National Provider Identifier) 1336206572 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Marie Ann Long's facilities are geographically located?
The facilities of Marie Ann Long are physically situated at the following location: 9909 Bancroft Ave, Oakland, CA, 946032815.
What is Marie Ann Long's area of expertise and its corresponding taxonomy classification?
The Marie Ann Long's field of specialization is Licensed Psychiatric Technician, and it falls under the taxonomy code 167G00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Marie Ann Long receive its 1336206572 assignment from the Centers for Medicare & Medicaid Services?
The Marie Ann Long was assigned its 1336206572 by the Centers for Medicare & Medicaid Services on 2007-01-03.
When was the Marie Ann Long's information last updated?
The Marie Ann Long's information was last updated on 2007-07-08.
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