Agnes Helen Madave in Stockton - Licensed Psychiatric Technician
Agnes Helen Madave - NPI 1104948595
Agnes Helen Madave is a Licensed Psychiatric Technician in Stockton, California. Agnes Helen Madave practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Agnes Helen Madave is 1104948595. The last update date is 2007-07-08.
Agnes Helen Madave's current location address is 1212 N. California, Stockton, California. You can contact this provider via phone number 2094688880 and fax number 2094683516. The mailing address for Agnes Helen Madave is 1212 N. California, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Agnes Helen Madave |
|---|---|
| Address | 1212 N. California, Stockton, California |
| Phone Number | 2094688880 |
| Fax Number | 2094683516 |
| Sole Proprietor | Y |
| Credentials | PSYCH TECH |
NPI Number Detail
| NPI Number | 1104948595 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1212 N. California |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 95202 |
| Phone Number | 2094688880 |
| Fax Number | 2094683516 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | PT28610 |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Agnes Helen Madave by the Centers for Medicare & Medicaid Services?
The Agnes Helen Madave has been issued the NPI (National Provider Identifier) 1104948595 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Agnes Helen Madave located?
The Agnes Helen Madave is located at 1212 N. California, Stockton, CA 95202.
What is Agnes Helen Madave's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Agnes Helen Madave's specialized field of practice is Licensed Psychiatric Technician, and the corresponding taxonomy code that categorizes this area of specialization is 167G00000X.
When did the Agnes Helen Madave receive its 1104948595?
The Agnes Helen Madave was issued its 1104948595 on 2007-04-04, which is the date when the organization was assigned this unique identifier.
When was the Agnes Helen Madave's information last updated?
The Agnes Helen Madave's information was last updated on 2007-07-08.