Tracy Corner in Woodside - Licensed Psychiatric Technician
Tracy Corner - NPI 1033258421
Tracy Corner is a Licensed Psychiatric Technician in Woodside, California. Tracy Corner practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Tracy Corner is 1033258421. The last update date is 2007-07-08.
Tracy Corner's current location address is 521 Rocky Way, Woodside, California. You can contact this provider via phone number 6505999419. The mailing address for Tracy Corner is 521 Rocky Way, Woodside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Corner |
|---|---|
| Address | 521 Rocky Way, Woodside, California |
| Phone Number | 6505999419 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1033258421 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 521 Rocky Way |
|---|---|
| City | Woodside |
| State | California (CA) |
| Post Code | 940624021 |
| Phone Number | 6505999419 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | PT29823 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PT29823 | CA | LPT |
Post Comment/ Review Below
What is the unique identification code assigned to Tracy Corner by the Centers for Medicare & Medicaid Services?
The Tracy Corner has been issued the NPI (National Provider Identifier) 1033258421. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Tracy Corner's physical address?
The Tracy Corner is physically located at 521 Rocky Way, in the city of Woodside, CA, with the postal code 940624021.
What is Tracy Corner's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tracy Corner is Licensed Psychiatric Technician, and the taxonomy classification code that categorizes this area of expertise is 167G00000X.
On what date did the Tracy Corner receive the assignment of its 1033258421 from the Centers for Medicare & Medicaid Services?
The Tracy Corner was issued its 1033258421 by the Centers for Medicare & Medicaid Services on 2007-02-05.
As of what date were the Tracy Corner's details last updated?
The information pertaining to the Tracy Corner, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1679570980
Address: 333 S Beaudry Ave, Los Angeles, CA
NPI Number: 1689648701
Address: 100 Bavington Rd, Burgettstown, PA