Wanda S Short in Yuba City - Licensed Psychiatric Technician
Wanda S Short - NPI 1013045459
Wanda S Short is a Licensed Psychiatric Technician in Yuba City, California. Wanda S Short practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Wanda S Short is 1013045459. The last update date is 2011-12-20.
Wanda S Short's current location address is 1965 Live Oak Blvd, Yuba City, California. You can contact this provider via phone number 5308227200 and fax number 5308223216. The mailing address for Wanda S Short is 1965 Live Oak Blvd, Yuba City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wanda S Short |
|---|---|
| Address | 1965 Live Oak Blvd, Yuba City, California |
| Phone Number | 5308227200 |
| Fax Number | 5308223216 |
| Sole Proprietor | N |
| Credentials | LPT 27571 |
NPI Number Detail
| NPI Number | 1013045459 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2011-12-20 |
Provider Mailing Address Detail
| Address | 1965 Live Oak Blvd |
|---|---|
| City | Yuba City |
| State | California (CA) |
| Post Code | 959918828 |
| Phone Number | 5308227200 |
| Fax Number | 5308223216 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | PT27571 |
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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 Wanda S Short's unique identification number?
The Wanda S Short has been assigned the NPI (National Provider Identifier) Number 1013045459 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Wanda S Short's facilities are geographically located?
The facilities of Wanda S Short are physically situated at the following location: 1965 Live Oak Blvd, Yuba City, CA, 959918828.
What is Wanda S Short's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Wanda S Short's specialized field of practice is Licensed Psychiatric Technician, and the corresponding taxonomy code that categorizes this area of specialization is 167G00000X.
On what date was the 1013045459 assigned to Wanda S Short?
The Wanda S Short was issued its 1013045459 on 2007-02-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Wanda S Short most recently updated or revised?
The information pertaining to Wanda S Short, including its address, specialty, and other relevant details, was last updated or revised on 2011-12-20.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH