Janice Munn Frater in Santa Rosa - Licensed Psychiatric Technician
Janice Munn Frater - NPI 1104950161
Janice Munn Frater is a Licensed Psychiatric Technician in Santa Rosa, California. Janice Munn Frater practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Janice Munn Frater is 1104950161. The last update date is 2014-07-01.
Janice Munn Frater's current location address is 3322 Chanate Rd, Santa Rosa, California. You can contact this provider via phone number 7075654867. The mailing address for Janice Munn Frater is 3322 Chanate Rd, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Janice Munn Frater |
|---|---|
| Address | 3322 Chanate Rd, Santa Rosa, California |
| Phone Number | 7075654867 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1104950161 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2014-07-01 |
Provider Mailing Address Detail
| Address | 3322 Chanate Rd |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954041708 |
| Phone Number | 7075654867 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | 2008 |
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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 identifier code issued to Janice Munn Frater by the Centers for Medicare & Medicaid Services?
The Janice Munn Frater has been assigned the NPI (National Provider Identifier) 1104950161. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Janice Munn Frater is geographically located?
The Janice Munn Frater is physically situated at the following location: 3322 Chanate Rd, Santa Rosa, CA, 954041708.
What is Janice Munn Frater's specialized field of practice, and what is the corresponding taxonomy classification code?
The Janice Munn Frater's area of specialization is Licensed Psychiatric Technician, and the corresponding taxonomy code that categorizes this field of practice is 167G00000X.
On what date did the Janice Munn Frater receive the assignment of its 1104950161 from the Centers for Medicare & Medicaid Services?
The Janice Munn Frater was issued its 1104950161 by the Centers for Medicare & Medicaid Services on 2007-03-14.
When was the Janice Munn Frater's information last updated?
The Janice Munn Frater's information was last updated on 2014-07-01.