Remedios Aguada Wallace in Stockton - Licensed Psychiatric Technician
Remedios Aguada Wallace - NPI 1639294341
Remedios Aguada Wallace is a Licensed Psychiatric Technician in Stockton, California. Remedios Aguada Wallace practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Remedios Aguada Wallace is 1639294341. The last update date is 2007-07-08.
Remedios Aguada Wallace's current location address is 1212 N California St, Stockton, California. You can contact this provider via phone number 2094688842. The mailing address for Remedios Aguada Wallace is 1212 N California St, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Remedios Aguada Wallace |
|---|---|
| Address | 1212 N California St, Stockton, California |
| Phone Number | 2094688842 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1639294341 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| 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 | 2094688842 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | PT24227 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Remedios Aguada Wallace by the Centers for Medicare & Medicaid Services (CMS)?
The Remedios Aguada Wallace has been assigned the NPI (National Provider Identifier) 1639294341. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Remedios Aguada Wallace is physically located?
The Remedios Aguada Wallace is situated at the following address: 1212 N California St, Stockton, CA 952021552.
What is Remedios Aguada Wallace's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Remedios Aguada Wallace is Licensed Psychiatric Technician, and the taxonomy code that classifies this field of practice is 167G00000X.
On what date did the Remedios Aguada Wallace receive its 1639294341 assignment from the Centers for Medicare & Medicaid Services?
The Remedios Aguada Wallace was assigned its 1639294341 by the Centers for Medicare & Medicaid Services on 2007-03-20.
As of what date was the information pertaining to Remedios Aguada Wallace, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Remedios Aguada Wallace, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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