Deborah Mary Coffman-Deasy in San Bernardino - Licensed Psychiatric Technician

Deborah Mary Coffman-Deasy - NPI 1295995504

Deborah Mary Coffman-Deasy is a Licensed Psychiatric Technician in San Bernardino, California. Deborah Mary Coffman-Deasy practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Deborah Mary Coffman-Deasy is 1295995504. The last update date is 2008-06-10.

Deborah Mary Coffman-Deasy's current location address is 2080 S E St, San Bernardino, California. You can contact this provider via phone number 9093889191. The mailing address for Deborah Mary Coffman-Deasy is 2080 S E St, San Bernardino, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Deborah Mary Coffman-Deasy
Address 2080 S E St, San Bernardino, California
Phone Number 9093889191
Fax Number
Sole Proprietor N
Credentials LPT

NPI Number Detail

NPI Number 1295995504
Provider Enumeration Date 2008-06-10
Last Updated Date 2008-06-10

Provider Mailing Address Detail

Address 2080 S E St
City San Bernardino
State California (CA)
Post Code 924082706
Phone Number 9093889191
Fax Number

Provider's Primary Taxonomy Detail

Speciality Licensed Psychiatric Technician
Taxonomy 167G00000X
Licence No 33750
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 Deborah Mary Coffman-Deasy

What is the Deborah Mary Coffman-Deasy's 1295995504?

The Deborah Mary Coffman-Deasy's NPI (National Provider Identifier) Number is 1295995504. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Deborah Mary Coffman-Deasy's facilities are geographically located?

The facilities of Deborah Mary Coffman-Deasy are physically situated at the following location: 2080 S E St, San Bernardino, CA, 924082706.

What is Deborah Mary Coffman-Deasy's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Deborah Mary Coffman-Deasy is Licensed Psychiatric Technician, and the taxonomy code that classifies this field of practice is 167G00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1295995504 to Deborah Mary Coffman-Deasy?

The Deborah Mary Coffman-Deasy received its 1295995504 assignment from the Centers for Medicare & Medicaid Services on 2008-06-10.

As of what date was the information regarding Deborah Mary Coffman-Deasy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Deborah Mary Coffman-Deasy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-10.

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