Jana Kathlin Cearley in San Luis Obispo - Licensed Psychiatric Technician
Jana Kathlin Cearley - NPI 1659415156
Jana Kathlin Cearley is a Licensed Psychiatric Technician in San Luis Obispo, California. Jana Kathlin Cearley practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Jana Kathlin Cearley is 1659415156. The last update date is 2016-09-03.
Jana Kathlin Cearley's current location address is 2180 Johnson Ave, San Luis Obispo, California. You can contact this provider via phone number 8057814997. The mailing address for Jana Kathlin Cearley is 2180 Johnson Ave, San Luis Obispo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jana Kathlin Cearley |
|---|---|
| Address | 2180 Johnson Ave, San Luis Obispo, California |
| Phone Number | 8057814997 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPT |
NPI Number Detail
| NPI Number | 1659415156 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2016-09-03 |
Provider Mailing Address Detail
| Address | 2180 Johnson Ave |
|---|---|
| City | San Luis Obispo |
| State | California (CA) |
| Post Code | 934014513 |
| Phone Number | 8057814997 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | PT25783 |
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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 10-digit identification code assigned to Jana Kathlin Cearley by the Centers for Medicare & Medicaid Services?
The Jana Kathlin Cearley has been issued the NPI (National Provider Identifier) 1659415156, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jana Kathlin Cearley?
The Jana Kathlin Cearley is physically situated at 2180 Johnson Ave, in the city of San Luis Obispo, state of CA, with the postal code 934014513.
What is Jana Kathlin Cearley's area of expertise and its corresponding taxonomy classification?
The Jana Kathlin Cearley'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 Centers for Medicare & Medicaid Services originally issue the 1659415156 to Jana Kathlin Cearley?
The Centers for Medicare & Medicaid Services originally issued the 1659415156 to Jana Kathlin Cearley on 2007-02-16.
As of what date were the details related to Jana Kathlin Cearley most recently updated or revised?
The information pertaining to Jana Kathlin Cearley, including its address, specialty, and other relevant details, was last updated or revised on 2016-09-03.
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