Prynzessin Nicole Carney in San Bernardino - Licensed Psychiatric Technician
Prynzessin Nicole Carney - NPI 1871626556
Prynzessin Nicole Carney is a Licensed Psychiatric Technician in San Bernardino, California. Prynzessin Nicole Carney practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Prynzessin Nicole Carney is 1871626556. The last update date is 2016-04-08.
Prynzessin Nicole Carney's current location address is 572 N Arrowhead Ave, San Bernardino, California. You can contact this provider via phone number 9094966636. The mailing address for Prynzessin Nicole Carney is 572 N Arrowhead Ave, San Bernardino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Prynzessin Nicole Carney |
|---|---|
| Address | 572 N Arrowhead Ave, San Bernardino, California |
| Phone Number | 9094966636 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPT |
NPI Number Detail
| NPI Number | 1871626556 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2016-04-08 |
Provider Mailing Address Detail
| Address | 572 N Arrowhead Ave |
|---|---|
| City | San Bernardino |
| State | California (CA) |
| Post Code | 924011251 |
| Phone Number | 9094966636 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | 28005 |
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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 10-digit identification code issued to Prynzessin Nicole Carney by the Centers for Medicare & Medicaid Services?
The Prynzessin Nicole Carney has been assigned the NPI (National Provider Identifier) 1871626556 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Prynzessin Nicole Carney's facilities are geographically located?
The facilities of Prynzessin Nicole Carney are physically situated at the following location: 572 N Arrowhead Ave, San Bernardino, CA, 924011251.
What is Prynzessin Nicole Carney's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Prynzessin Nicole Carney'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 the Prynzessin Nicole Carney receive its 1871626556 assignment from the Centers for Medicare & Medicaid Services?
The Prynzessin Nicole Carney was assigned its 1871626556 by the Centers for Medicare & Medicaid Services on 2007-03-13.
As of what date were the details related to Prynzessin Nicole Carney most recently updated or revised?
The information pertaining to Prynzessin Nicole Carney, including its address, specialty, and other relevant details, was last updated or revised on 2016-04-08.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA