Jasmine Shawcover in San Bernardino - Licensed Psychiatric Technician
Jasmine Shawcover - NPI 1811172703
Jasmine Shawcover is a Licensed Psychiatric Technician in San Bernardino, California. Jasmine Shawcover practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Jasmine Shawcover is 1811172703. The last update date is 2008-01-09.
Jasmine Shawcover's current location address is 1480 W Edgehill Rd, San Bernardino, California. You can contact this provider via phone number 9098894987. The mailing address for Jasmine Shawcover is 1480 W Edgehill Rd, San Bernardino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jasmine Shawcover |
|---|---|
| Address | 1480 W Edgehill Rd, San Bernardino, California |
| Phone Number | 9098894987 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1811172703 |
|---|---|
| Provider Enumeration Date | 2008-01-09 |
| Last Updated Date | 2008-01-09 |
Provider Mailing Address Detail
| Address | 1480 W Edgehill Rd |
|---|---|
| City | San Bernardino |
| State | California (CA) |
| Post Code | 924055105 |
| Phone Number | 9098894987 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | 33610 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1124100383 | CA | -- |
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What is the unique identifier code issued to Jasmine Shawcover by the Centers for Medicare & Medicaid Services?
The Jasmine Shawcover has been assigned the NPI (National Provider Identifier) 1811172703. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jasmine Shawcover located?
The Jasmine Shawcover is located at 1480 W Edgehill Rd, San Bernardino, CA 924055105.
What is Jasmine Shawcover's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jasmine Shawcover's specialized field of practice is Licensed Psychiatric Technician, and the corresponding taxonomy code that categorizes this area of specialization is 167G00000X.
When was the Jasmine Shawcover's 1811172703 issued?
The Jasmine Shawcover's 1811172703 was issued on 2008-01-09.
When was the Jasmine Shawcover's information last updated?
The Jasmine Shawcover's information was last updated on 2008-01-09.