Patricia Maxine Elder in Baldwin Park - Licensed Psychiatric Technician

Patricia Maxine Elder - NPI 1902017247

Patricia Maxine Elder is a Licensed Psychiatric Technician in Baldwin Park, California. Patricia Maxine Elder practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Patricia Maxine Elder is 1902017247. The last update date is 2007-07-08.

Patricia Maxine Elder's current location address is 5013 Landis Ave, Baldwin Park, California. You can contact this provider via phone number 6269229572. The mailing address for Patricia Maxine Elder is 5013 Landis Ave, Baldwin Park, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Patricia Maxine Elder
Address 5013 Landis Ave, Baldwin Park, California
Phone Number 6269229572
Fax Number
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1902017247
Provider Enumeration Date 2007-05-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5013 Landis Ave
City Baldwin Park
State California (CA)
Post Code 917061624
Phone Number 6269229572
Fax Number

Provider's Primary Taxonomy Detail

Speciality Licensed Psychiatric Technician
Taxonomy 167G00000X
Licence No PT 27461
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 Patricia Maxine Elder

What is the unique provider identifier assigned to Patricia Maxine Elder?

The Patricia Maxine Elder has been issued the NPI (National Provider Identifier) 1902017247 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Patricia Maxine Elder's facilities are geographically located?

The facilities of Patricia Maxine Elder are physically situated at the following location: 5013 Landis Ave, Baldwin Park, CA, 917061624.

What is Patricia Maxine Elder's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Patricia Maxine Elder'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 did Patricia Maxine Elder receive its 1902017247 assignment from the Centers for Medicare & Medicaid Services?

The Patricia Maxine Elder was assigned its 1902017247 on 2007-05-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Patricia Maxine Elder last refreshed?

The information related to the Patricia Maxine Elder, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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