Jerry Louise Tait in Stockton - Licensed Psychiatric Technician
Jerry Louise Tait - NPI 1568584548
Jerry Louise Tait is a Licensed Psychiatric Technician in Stockton, California. Jerry Louise Tait practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Jerry Louise Tait is 1568584548. The last update date is 2007-07-08.
Jerry Louise Tait's current location address is 1212 N California St, Stockton, California. You can contact this provider via phone number 2094688660. The mailing address for Jerry Louise Tait is 1212 N California St, Stockton, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jerry Louise Tait |
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Address | 1212 N California St, Stockton, California |
Phone Number | 2094688660 |
Fax Number | |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1568584548 |
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Provider Enumeration Date | 2007-04-03 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1212 N California St |
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City | Stockton |
State | California (CA) |
Post Code | 952021552 |
Phone Number | 2094688660 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Licensed Psychiatric Technician |
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Taxonomy | 167G00000X |
Licence No | PT14939 |
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 identifier code issued to Jerry Louise Tait by the Centers for Medicare & Medicaid Services?
The Jerry Louise Tait has been assigned the NPI (National Provider Identifier) 1568584548 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jerry Louise Tait is physically located?
The Jerry Louise Tait is physically situated at the following address: 1212 N California St, Stockton, CA, 952021552.
What is Jerry Louise Tait's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jerry Louise Tait is Licensed Psychiatric Technician, and the corresponding taxonomy classification code for this specialized field is 167G00000X.
When did Jerry Louise Tait receive its 1568584548 assignment?
The Jerry Louise Tait was assigned its 1568584548 on 2007-04-03, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Jerry Louise Tait, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jerry Louise Tait, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.