Elretha Bosworth in Sacramento - Licensed Psychiatric Technician
Elretha Bosworth - NPI 1154405660
Elretha Bosworth is a Licensed Psychiatric Technician in Sacramento, California. Elretha Bosworth practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Elretha Bosworth is 1154405660. The last update date is 2007-07-08.
Elretha Bosworth's current location address is 651 I St, Sacramento, California. You can contact this provider via phone number 9168747360. The mailing address for Elretha Bosworth is 651 I St, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elretha Bosworth |
|---|---|
| Address | 651 I St, Sacramento, California |
| Phone Number | 9168747360 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPT |
NPI Number Detail
| NPI Number | 1154405660 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 651 I St |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958142400 |
| Phone Number | 9168747360 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | PT22355 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Elretha Bosworth by the Centers for Medicare & Medicaid Services?
The Elretha Bosworth has been assigned the NPI (National Provider Identifier) 1154405660. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Elretha Bosworth is located?
The Elretha Bosworth is situated at the following address: 651 I St, Sacramento, CA, 958142400.
What is the Elretha Bosworth's specialty and taxonomy code?
The Elretha Bosworth's specialty is Licensed Psychiatric Technician, and the corresponding taxonomy code is 167G00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1154405660 to Elretha Bosworth?
The Centers for Medicare & Medicaid Services originally issued the 1154405660 to Elretha Bosworth on 2006-10-24.
As of what date was the information pertaining to Elretha Bosworth, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Elretha Bosworth, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.