Kory Leann Mcdonald in San Bernardino - Licensed Psychiatric Technician
Kory Leann Mcdonald - NPI 1548398308
Kory Leann Mcdonald is a Licensed Psychiatric Technician in San Bernardino, California. Kory Leann Mcdonald practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Kory Leann Mcdonald is 1548398308. The last update date is 2007-07-08.
Kory Leann Mcdonald's current location address is 4834 Alta Dr, San Bernardino, California. You can contact this provider via phone number 9095736887. The mailing address for Kory Leann Mcdonald is 4834 Alta Dr, San Bernardino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kory Leann Mcdonald |
|---|---|
| Address | 4834 Alta Dr, San Bernardino, California |
| Phone Number | 9095736887 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPT |
NPI Number Detail
| NPI Number | 1548398308 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4834 Alta Dr |
|---|---|
| City | San Bernardino |
| State | California (CA) |
| Post Code | 924072988 |
| Phone Number | 9095736887 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | 31629 |
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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 Kory Leann Mcdonald's 1548398308?
The Kory Leann Mcdonald's NPI (National Provider Identifier) Number is 1548398308. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kory Leann Mcdonald's physical address?
The Kory Leann Mcdonald is physically located at 4834 Alta Dr, in the city of San Bernardino, CA, with the postal code 924072988.
What is Kory Leann Mcdonald's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kory Leann Mcdonald is Licensed Psychiatric Technician, and the taxonomy code that categorizes this field of expertise is 167G00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1548398308 to Kory Leann Mcdonald?
The Centers for Medicare & Medicaid Services originally issued the 1548398308 to Kory Leann Mcdonald on 2007-03-01.
When was the information related to Kory Leann Mcdonald most recently updated or refreshed?
The details pertaining to the Kory Leann Mcdonald, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC