Randy Kreck in Ventura - Licensed Psychiatric Technician
Randy Kreck - NPI 1104950583
Randy Kreck is a Licensed Psychiatric Technician in Ventura, California. Randy Kreck practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Randy Kreck is 1104950583. The last update date is 2007-07-08.
Randy Kreck's current location address is 300 Hillmont Ave, Ventura, California. You can contact this provider via phone number 8056526768. The mailing address for Randy Kreck is 300 Hillmont Ave, Ventura, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randy Kreck |
|---|---|
| Address | 300 Hillmont Ave, Ventura, California |
| Phone Number | 8056526768 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPT |
NPI Number Detail
| NPI Number | 1104950583 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 300 Hillmont Ave |
|---|---|
| City | Ventura |
| State | California (CA) |
| Post Code | 930031651 |
| Phone Number | 8056526768 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | PT 18505 |
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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 Randy Kreck by the Centers for Medicare & Medicaid Services?
The Randy Kreck has been issued the NPI (National Provider Identifier) 1104950583, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Randy Kreck's facilities are geographically located?
The facilities of Randy Kreck are physically situated at the following location: 300 Hillmont Ave, Ventura, CA, 930031651.
What is Randy Kreck's area of expertise and its corresponding taxonomy classification?
The Randy Kreck's field of specialization is Licensed Psychiatric Technician, and it falls under the taxonomy code 167G00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Randy Kreck receive its 1104950583 assignment from the Centers for Medicare & Medicaid Services?
The Randy Kreck was assigned its 1104950583 by the Centers for Medicare & Medicaid Services on 2007-03-15.
As of what date were the Randy Kreck's details last updated?
The information pertaining to the Randy Kreck, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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