Taffie Ann Walter in Stockton - Licensed Psychiatric Technician

Taffie Ann Walter - NPI 1083735096

Taffie Ann Walter is a Licensed Psychiatric Technician in Stockton, California. Taffie Ann Walter practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Taffie Ann Walter is 1083735096. The last update date is 2007-07-08.

Taffie Ann Walter's current location address is 4415 N Pershing Ave Apt 18, Stockton, California. You can contact this provider via phone number 2094688660. The mailing address for Taffie Ann Walter is 4415 N Pershing Ave Apt 18, Stockton, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Taffie Ann Walter
Address 4415 N Pershing Ave Apt 18, Stockton, California
Phone Number 2094688660
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1083735096
Provider Enumeration Date 2007-04-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4415 N Pershing Ave Apt 18
City Stockton
State California (CA)
Post Code 952076937
Phone Number 2094688660
Fax Number

Provider's Primary Taxonomy Detail

Speciality Licensed Psychiatric Technician
Taxonomy 167G00000X
Licence No PT32090
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 Taffie Ann Walter

What is the unique 10-digit identification code issued to Taffie Ann Walter by the Centers for Medicare & Medicaid Services?

The Taffie Ann Walter has been assigned the NPI (National Provider Identifier) 1083735096 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Taffie Ann Walter?

The Taffie Ann Walter is situated at 4415 N Pershing Ave Apt 18, in the city of Stockton, state of CA, with the zip code 952076937.

What is Taffie Ann Walter's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Taffie Ann Walter's specialized field of practice is Licensed Psychiatric Technician, and the corresponding taxonomy code that categorizes this area of specialization is 167G00000X.

When did the Taffie Ann Walter receive its 1083735096?

The Taffie Ann Walter was issued its 1083735096 on 2007-04-03, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Taffie Ann Walter, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Taffie Ann Walter, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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