Larry Speck in Fresno - Licensed Psychiatric Technician
Larry Speck - NPI 1962672717
Larry Speck is a Licensed Psychiatric Technician in Fresno, California. Larry Speck practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Larry Speck is 1962672717. The last update date is 2009-05-18.
Larry Speck's current location address is 1225 M St, Fresno, California. You can contact this provider via phone number 5594422404 and fax number 5594425277. The mailing address for Larry Speck is 1225 M St, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Speck |
|---|---|
| Address | 1225 M St, Fresno, California |
| Phone Number | 5594422404 |
| Fax Number | 5594425277 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1962672717 |
|---|---|
| Provider Enumeration Date | 2008-03-07 |
| Last Updated Date | 2009-05-18 |
Provider Mailing Address Detail
| Address | 1225 M St |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937211805 |
| Phone Number | 5594422404 |
| Fax Number | 5594425277 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | 21268 |
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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 identification code assigned to Larry Speck by the Centers for Medicare & Medicaid Services?
The Larry Speck has been issued the NPI (National Provider Identifier) 1962672717. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Larry Speck is geographically located?
The Larry Speck is physically situated at the following location: 1225 M St, Fresno, CA, 937211805.
What is Larry Speck's specialized field of practice, and what is the corresponding taxonomy classification code?
The Larry Speck's area of specialization is Licensed Psychiatric Technician, and the corresponding taxonomy code that categorizes this field of practice is 167G00000X.
When did the Larry Speck receive its 1962672717?
The Larry Speck was issued its 1962672717 on 2008-03-07, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Larry Speck, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Larry Speck, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-05-18.