Sandy Pankratz in San Luis Obispo - Licensed Psychiatric Technician
Sandy Pankratz - NPI 1063568509
Sandy Pankratz is a Licensed Psychiatric Technician in San Luis Obispo, California. Sandy Pankratz practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Sandy Pankratz is 1063568509. The last update date is 2008-11-17.
Sandy Pankratz's current location address is 2178 Johnson Ave, San Luis Obispo, California. You can contact this provider via phone number 8057814711. The mailing address for Sandy Pankratz is 2178 Johnson Ave, San Luis Obispo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandy Pankratz |
|---|---|
| Address | 2178 Johnson Ave, San Luis Obispo, California |
| Phone Number | 8057814711 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1063568509 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2008-11-17 |
Provider Mailing Address Detail
| Address | 2178 Johnson Ave |
|---|---|
| City | San Luis Obispo |
| State | California (CA) |
| Post Code | 934014535 |
| Phone Number | 8057814711 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | PT27406 |
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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 identifier code issued to Sandy Pankratz by the Centers for Medicare & Medicaid Services?
The Sandy Pankratz has been assigned the NPI (National Provider Identifier) 1063568509 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Sandy Pankratz is located?
The Sandy Pankratz is situated at the following address: 2178 Johnson Ave, San Luis Obispo, CA, 934014535.
What is Sandy Pankratz's area of expertise and its corresponding taxonomy classification?
The Sandy Pankratz's field of specialization is Licensed Psychiatric Technician, and it falls under the taxonomy code 167G00000X, which categorizes healthcare providers based on their areas of practice.
When did Sandy Pankratz receive its 1063568509 assignment?
The Sandy Pankratz was assigned its 1063568509 on 2007-01-26, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Sandy Pankratz, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Sandy Pankratz, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-11-17.