Joellen Schrader in San Luis Obispo - Licensed Psychiatric Technician
Joellen Schrader - NPI 1114086170
Joellen Schrader is a Licensed Psychiatric Technician in San Luis Obispo, California. Joellen Schrader practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Joellen Schrader is 1114086170. The last update date is 2007-07-08.
Joellen Schrader's current location address is 2178 Johnson Ave, San Luis Obispo, California. You can contact this provider via phone number 8057814711. The mailing address for Joellen Schrader is 2178 Johnson Ave, San Luis Obispo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joellen Schrader |
|---|---|
| Address | 2178 Johnson Ave, San Luis Obispo, California |
| Phone Number | 8057814711 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1114086170 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2178 Johnson Ave |
|---|---|
| City | San Luis Obispo |
| State | California (CA) |
| Post Code | 934014535 |
| Phone Number | 8057814711 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | 15645 |
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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 identifier code issued to Joellen Schrader by the Centers for Medicare & Medicaid Services (CMS)?
The Joellen Schrader has been assigned the NPI (National Provider Identifier) 1114086170. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Joellen Schrader?
The Joellen Schrader is situated at 2178 Johnson Ave, in the city of San Luis Obispo, state of CA, with the zip code 934014535.
What is the Joellen Schrader's specialty and taxonomy code?
The Joellen Schrader's specialty is Licensed Psychiatric Technician, and the corresponding taxonomy code is 167G00000X.
On what date did the Joellen Schrader receive its 1114086170 assignment from the Centers for Medicare & Medicaid Services?
The Joellen Schrader was assigned its 1114086170 by the Centers for Medicare & Medicaid Services on 2006-12-06.
As of what date were the Joellen Schrader's details last updated?
The information pertaining to the Joellen Schrader, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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