Corey Thomas Baker
Licensed Psychiatric Technician in Atascadero, CA. Individual provider (NPI-1).
NPI number1164067229
StatusActive
Last updated in NPPESNov 13, 2019
Details
- NPI
- 1164067229
- Entity type
- Individual (NPI-1)
- Name
- Corey Thomas Baker
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 13, 2019
- Last updated
- Nov 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 167G00000X | Licensed Psychiatric Technician | 41105 | CA | Yes |
Practice location
5205 Cascabel RdAtascadero, CA 93422-2316
Phone 805-439-4890
Mailing address
2945 McMillan Ave Ste 240San Luis Obispo, CA 93401-6771
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All 12 Licensed Psychiatric Technician providers in Atascadero · All 1,176 providers in Atascadero
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