Andrea Francesca Simmons in San Pedro - Licensed Psychiatric Technician
Andrea Francesca Simmons - NPI 1083795603
Andrea Francesca Simmons is a Licensed Psychiatric Technician in San Pedro, California. Andrea Francesca Simmons practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Andrea Francesca Simmons is 1083795603. The last update date is 2021-07-30.
Andrea Francesca Simmons's current location address is 3623 S Leland St, San Pedro, California. You can contact this provider via phone number 3102223140 and fax number 3105338019. The mailing address for Andrea Francesca Simmons is 3623 S Leland St, San Pedro, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea Francesca Simmons |
|---|---|
| Address | 3623 S Leland St, San Pedro, California |
| Phone Number | 3102223140 |
| Fax Number | 3105338019 |
| Sole Proprietor | N |
| Credentials | LPT |
NPI Number Detail
| NPI Number | 1083795603 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2021-07-30 |
Provider Mailing Address Detail
| Address | 3623 S Leland St |
|---|---|
| City | San Pedro |
| State | California (CA) |
| Post Code | 907316425 |
| Phone Number | 3102223140 |
| Fax Number | 3105338019 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | PT18067 |
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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 identification code assigned to Andrea Francesca Simmons by the Centers for Medicare & Medicaid Services?
The Andrea Francesca Simmons has been issued the NPI (National Provider Identifier) 1083795603. This 10-digit code 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 Andrea Francesca Simmons?
The Andrea Francesca Simmons is physically situated at 3623 S Leland St, in the city of San Pedro, state of CA, with the postal code 907316425.
What is the Andrea Francesca Simmons's specialty and taxonomy code?
The Andrea Francesca Simmons's specialty is Licensed Psychiatric Technician, and the corresponding taxonomy code is 167G00000X.
When did the Andrea Francesca Simmons receive its 1083795603?
The Andrea Francesca Simmons was issued its 1083795603 on 2006-10-18, which is the date when the organization was assigned this unique identifier.
As of what date were the Andrea Francesca Simmons's details last updated?
The information pertaining to the Andrea Francesca Simmons, including its address, specialty, and other details, was most recently updated on 2021-07-30.