Shayne Lee M Maniti in Stockton - Licensed Psychiatric Technician
Shayne Lee M Maniti - NPI 1689854093
Shayne Lee M Maniti is a Licensed Psychiatric Technician in Stockton, California. Shayne Lee M Maniti practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Shayne Lee M Maniti is 1689854093. The last update date is 2010-01-04.
Shayne Lee M Maniti's current location address is 1212 N California St, Stockton, California. You can contact this provider via phone number 2094688880. The mailing address for Shayne Lee M Maniti is 1212 N California St, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shayne Lee M Maniti |
|---|---|
| Address | 1212 N California St, Stockton, California |
| Phone Number | 2094688880 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | SENIOR PSY |
NPI Number Detail
| NPI Number | 1689854093 |
|---|---|
| Provider Enumeration Date | 2007-11-14 |
| Last Updated Date | 2010-01-04 |
Provider Mailing Address Detail
| Address | 1212 N California St |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952021552 |
| Phone Number | 2094688880 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | PT 33732 |
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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 issued to Shayne Lee M Maniti by the Centers for Medicare & Medicaid Services?
The Shayne Lee M Maniti has been assigned the NPI (National Provider Identifier) 1689854093 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Shayne Lee M Maniti located?
The Shayne Lee M Maniti is located at 1212 N California St, Stockton, CA 952021552.
What is the Shayne Lee M Maniti's area of specialization and corresponding taxonomy classification?
The Shayne Lee M Maniti's specialty field is Licensed Psychiatric Technician, and it falls under the taxonomy code 167G00000X, which categorizes healthcare providers based on their specialties.
When did the Shayne Lee M Maniti receive its 1689854093?
The Shayne Lee M Maniti was issued its 1689854093 on 2007-11-14, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Shayne Lee M Maniti most recently updated or revised?
The information pertaining to Shayne Lee M Maniti, including its address, specialty, and other relevant details, was last updated or revised on 2010-01-04.
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