Gloria Graham in Lemon Grove - Licensed Psychiatric Technician
Gloria Graham - NPI 1376704866
Gloria Graham is a Licensed Psychiatric Technician in Lemon Grove, California. Gloria Graham practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Gloria Graham is 1376704866. The last update date is 2008-06-18.
Gloria Graham's current location address is 7922 Palm St, Lemon Grove, California. You can contact this provider via phone number 6194643488. The mailing address for Gloria Graham is 7922 Palm St, Lemon Grove, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gloria Graham |
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Address | 7922 Palm St, Lemon Grove, California |
Phone Number | 6194643488 |
Fax Number | |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1376704866 |
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Provider Enumeration Date | 2008-06-18 |
Last Updated Date | 2008-06-18 |
Provider Mailing Address Detail
Address | 7922 Palm St |
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City | Lemon Grove |
State | California (CA) |
Post Code | 919452956 |
Phone Number | 6194643488 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Licensed Psychiatric Technician |
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Taxonomy | 167G00000X |
Licence No | 25587 |
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 Gloria Graham by the Centers for Medicare & Medicaid Services (CMS)?
The Gloria Graham has been assigned the NPI (National Provider Identifier) 1376704866. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Gloria Graham?
The Gloria Graham is physically situated at 7922 Palm St, in the city of Lemon Grove, state of CA, with the postal code 919452956.
What is Gloria Graham's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gloria Graham is Licensed Psychiatric Technician, and the corresponding taxonomy classification code for this specialized field is 167G00000X.
On what date did the Gloria Graham receive its 1376704866 assignment from the Centers for Medicare & Medicaid Services?
The Gloria Graham was assigned its 1376704866 by the Centers for Medicare & Medicaid Services on 2008-06-18.
As of what date were the Gloria Graham's details last updated?
The information pertaining to the Gloria Graham, including its address, specialty, and other details, was most recently updated on 2008-06-18.