Cassandra Wallace in Little Rock - Licensed Psychiatric Technician
Cassandra Wallace - NPI 1770750002
Cassandra Wallace is a Licensed Psychiatric Technician in Little Rock, Arkansas. Cassandra Wallace practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Cassandra Wallace is 1770750002. The last update date is 2008-05-15.
Cassandra Wallace's current location address is 4601 W 7th St, Little Rock, Arkansas. You can contact this provider via phone number 5016869393. The mailing address for Cassandra Wallace is 4601 W 7th St, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cassandra Wallace |
|---|---|
| Address | 4601 W 7th St, Little Rock, Arkansas |
| Phone Number | 5016869393 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPTN |
NPI Number Detail
| NPI Number | 1770750002 |
|---|---|
| Provider Enumeration Date | 2008-05-15 |
| Last Updated Date | 2008-05-15 |
Provider Mailing Address Detail
| Address | 4601 W 7th St |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722055441 |
| Phone Number | 5016869393 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | 1658 |
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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 issued to Cassandra Wallace by the Centers for Medicare & Medicaid Services?
The Cassandra Wallace has been assigned the NPI (National Provider Identifier) 1770750002 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Cassandra Wallace located?
The Cassandra Wallace is located at 4601 W 7Th St, Little Rock, AR 722055441.
What is Cassandra Wallace'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 Cassandra Wallace is Licensed Psychiatric Technician, and the taxonomy classification code that categorizes this area of expertise is 167G00000X.
When did the Cassandra Wallace receive its 1770750002?
The Cassandra Wallace was issued its 1770750002 on 2008-05-15, which is the date when the organization was assigned this unique identifier.
When was the information related to Cassandra Wallace most recently updated or refreshed?
The details pertaining to the Cassandra Wallace, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-05-15.