Keith Brian Raymond in Victorville - Licensed Psychiatric Technician
Keith Brian Raymond - NPI 1437295268
Keith Brian Raymond is a Licensed Psychiatric Technician in Victorville, California. Keith Brian Raymond practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Keith Brian Raymond is 1437295268. The last update date is 2007-11-02.
Keith Brian Raymond's current location address is 12625 Hesperia Rd, Victorville, California. You can contact this provider via phone number 7609551777 and fax number 7609552356. The mailing address for Keith Brian Raymond is 12625 Hesperia Rd, Victorville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Brian Raymond |
|---|---|
| Address | 12625 Hesperia Rd, Victorville, California |
| Phone Number | 7609551777 |
| Fax Number | 7609552356 |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1437295268 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2007-11-02 |
Provider Mailing Address Detail
| Address | 12625 Hesperia Rd |
|---|---|
| City | Victorville |
| State | California (CA) |
| Post Code | 923957720 |
| Phone Number | 7609551777 |
| Fax Number | 7609552356 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | PT30697 |
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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 identifier code assigned to Keith Brian Raymond by the Centers for Medicare & Medicaid Services?
The Keith Brian Raymond has been issued the NPI (National Provider Identifier) 1437295268 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Keith Brian Raymond?
The Keith Brian Raymond is situated at 12625 Hesperia Rd, in the city of Victorville, state of CA, with the zip code 923957720.
What is Keith Brian Raymond's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Keith Brian Raymond is Licensed Psychiatric Technician, and the taxonomy code that classifies this field of practice is 167G00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1437295268 to Keith Brian Raymond?
The Centers for Medicare & Medicaid Services assigned the 1437295268 to Keith Brian Raymond on 2007-01-29.
As of what date were the details related to Keith Brian Raymond most recently updated or revised?
The information pertaining to Keith Brian Raymond, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-02.