Millie B Wilson in Vallejo - Licensed Psychiatric Technician
Millie B Wilson - NPI 1306056668
Millie B Wilson is a Licensed Psychiatric Technician in Vallejo, California. Millie B Wilson practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Millie B Wilson is 1306056668. The last update date is 2007-07-08.
Millie B Wilson's current location address is 1113 Porter St Apt C, Vallejo, California. You can contact this provider via phone number 5059771316. The mailing address for Millie B Wilson is 1113 Porter St Apt C, Vallejo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Millie B Wilson |
|---|---|
| Address | 1113 Porter St Apt C, Vallejo, California |
| Phone Number | 5059771316 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1306056668 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1113 Porter St Apt C |
|---|---|
| City | Vallejo |
| State | California (CA) |
| Post Code | 945907910 |
| Phone Number | 5059771316 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | PT 21765 |
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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 provider identifier assigned to Millie B Wilson?
The Millie B Wilson has been issued the NPI (National Provider Identifier) 1306056668 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Millie B Wilson?
The Millie B Wilson is situated at 1113 Porter St Apt C, in the city of Vallejo, state of CA, with the zip code 945907910.
What is Millie B Wilson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Millie B Wilson's area of specialization is Licensed Psychiatric Technician, and the corresponding taxonomy code that categorizes this field of practice is 167G00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1306056668 to Millie B Wilson?
The Centers for Medicare & Medicaid Services assigned the 1306056668 to Millie B Wilson on 2007-05-23.
As of what date were the Millie B Wilson's details last updated?
The information pertaining to the Millie B Wilson, including its address, specialty, and other details, was most recently updated on 2007-07-08.