Judy Marie Wetch in Santa Rosa - Licensed Psychiatric Technician
Judy Marie Wetch - NPI 1770631285
Judy Marie Wetch is a Licensed Psychiatric Technician in Santa Rosa, California. Judy Marie Wetch practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Judy Marie Wetch is 1770631285. The last update date is 2014-09-11.
Judy Marie Wetch's current location address is 3322 Chanate Rd, Santa Rosa, California. You can contact this provider via phone number 7075654980. The mailing address for Judy Marie Wetch is 3322 Chanate Rd, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judy Marie Wetch |
|---|---|
| Address | 3322 Chanate Rd, Santa Rosa, California |
| Phone Number | 7075654980 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1770631285 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2014-09-11 |
Provider Mailing Address Detail
| Address | 3322 Chanate Rd |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954041708 |
| Phone Number | 7075654980 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | 29120 |
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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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Post Comment/ Review Below
What is the Judy Marie Wetch's 1770631285?
The Judy Marie Wetch's NPI (National Provider Identifier) Number is 1770631285. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Judy Marie Wetch?
The Judy Marie Wetch is situated at 3322 Chanate Rd, in the city of Santa Rosa, state of CA, with the zip code 954041708.
What is Judy Marie Wetch's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Judy Marie Wetch is Licensed Psychiatric Technician, and the corresponding taxonomy classification code for this specialized field is 167G00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770631285 to Judy Marie Wetch?
The Centers for Medicare & Medicaid Services originally issued the 1770631285 to Judy Marie Wetch on 2007-01-08.
As of what date were the details pertaining to Judy Marie Wetch last refreshed?
The information related to the Judy Marie Wetch, including its address, specialty, and other relevant details, was last updated on 2014-09-11.
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