Gwendolyn Louise Nava in Stockton - Licensed Psychiatric Technician

Gwendolyn Louise Nava - NPI 1417170192

Gwendolyn Louise Nava is a Licensed Psychiatric Technician in Stockton, California. Gwendolyn Louise Nava practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Gwendolyn Louise Nava is 1417170192. The last update date is 2007-07-08.

Gwendolyn Louise Nava's current location address is 1212 N California St, Stockton, California. You can contact this provider via phone number 2094688660. The mailing address for Gwendolyn Louise Nava is 1212 N California St, Stockton, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Gwendolyn Louise Nava
Address 1212 N California St, Stockton, California
Phone Number 2094688660
Fax Number
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1417170192
Provider Enumeration Date 2007-04-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1212 N California St
City Stockton
State California (CA)
Post Code 952021552
Phone Number 2094688660
Fax Number

Provider's Primary Taxonomy Detail

Speciality Licensed Psychiatric Technician
Taxonomy 167G00000X
Licence No PT20732
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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FAQs about Gwendolyn Louise Nava

What is the unique 10-digit identification code assigned to Gwendolyn Louise Nava by the Centers for Medicare & Medicaid Services?

The Gwendolyn Louise Nava has been issued the NPI (National Provider Identifier) 1417170192, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Gwendolyn Louise Nava is located?

The Gwendolyn Louise Nava is situated at the following address: 1212 N California St, Stockton, CA, 952021552.

What is Gwendolyn Louise Nava's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Gwendolyn Louise Nava is Licensed Psychiatric Technician, and the taxonomy code that classifies this field of practice is 167G00000X.

On what date did the Gwendolyn Louise Nava receive its 1417170192 assignment from the Centers for Medicare & Medicaid Services?

The Gwendolyn Louise Nava was assigned its 1417170192 by the Centers for Medicare & Medicaid Services on 2007-04-11.

When was the information pertaining to Gwendolyn Louise Nava most recently updated or revised?

The details related to Gwendolyn Louise Nava, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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