Janet Pugh in Yucca Valley - Licensed Psychiatric Technician

Janet Pugh - NPI 1114064904

Janet Pugh is a Licensed Psychiatric Technician in Yucca Valley, California. Janet Pugh practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Janet Pugh is 1114064904. The last update date is 2007-07-08.

Janet Pugh's current location address is 55475 Santa Fe Trl, Yucca Valley, California. You can contact this provider via phone number 7603653022 and fax number 7603653513. The mailing address for Janet Pugh is 55475 Santa Fe Trl, Yucca Valley, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Janet Pugh
Address 55475 Santa Fe Trl, Yucca Valley, California
Phone Number 7603653022
Fax Number 7603653513
Sole Proprietor N
Credentials LPT

NPI Number Detail

NPI Number 1114064904
Provider Enumeration Date 2007-01-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 55475 Santa Fe Trl
City Yucca Valley
State California (CA)
Post Code 922843117
Phone Number 7603653022
Fax Number 7603653513

Provider's Primary Taxonomy Detail

Speciality Licensed Psychiatric Technician
Taxonomy 167G00000X
Licence No PT23216
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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FAQs about Janet Pugh

What is the Janet Pugh's 1114064904?

The Janet Pugh's NPI (National Provider Identifier) Number is 1114064904. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Janet Pugh is physically located?

The Janet Pugh is physically situated at the following address: 55475 Santa Fe Trl, Yucca Valley, CA, 922843117.

What is Janet Pugh's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Janet Pugh is Licensed Psychiatric Technician, and the taxonomy code that classifies this field of practice is 167G00000X.

On what date did the Janet Pugh receive the assignment of its 1114064904 from the Centers for Medicare & Medicaid Services?

The Janet Pugh was issued its 1114064904 by the Centers for Medicare & Medicaid Services on 2007-01-31.

When was the information regarding Janet Pugh most recently updated?

The details pertaining to the Janet Pugh, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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