Nicole Monique Block in Stockton - Licensed Psychiatric Technician
Nicole Monique Block - NPI 1134342769
Nicole Monique Block is a Licensed Psychiatric Technician in Stockton, California. Nicole Monique Block practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Nicole Monique Block is 1134342769. The last update date is 2007-07-08.
Nicole Monique Block's current location address is 1212 N California St, Stockton, California. You can contact this provider via phone number 2094688660. The mailing address for Nicole Monique Block is 1212 N California St, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole Monique Block |
|---|---|
| Address | 1212 N California St, Stockton, California |
| Phone Number | 2094688660 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1134342769 |
|---|---|
| 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 | PT33468 |
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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 Nicole Monique Block by the Centers for Medicare & Medicaid Services?
The Nicole Monique Block has been issued the NPI (National Provider Identifier) 1134342769, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Nicole Monique Block's physical address?
The Nicole Monique Block is physically located at 1212 N California St, in the city of Stockton, CA, with the postal code 952021552.
What is Nicole Monique Block's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Nicole Monique Block is Licensed Psychiatric Technician, and the corresponding taxonomy classification code for this specialized field is 167G00000X.
On what date did the Nicole Monique Block receive the assignment of its 1134342769 from the Centers for Medicare & Medicaid Services?
The Nicole Monique Block was issued its 1134342769 by the Centers for Medicare & Medicaid Services on 2007-04-11.
When was the information pertaining to Nicole Monique Block most recently updated or revised?
The details related to Nicole Monique Block, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.