Amber Lynn Dade LPT

NPI 1730488545 - Licensed Psychiatric Technician - 167G00000X

NPI Details
NPI 1730488545
Gender Female
Enumeration Date 03/18/2011
Last Updated 06/12/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
5016 NOEL POLTY BLVD.
BETHEL AK, 99559-1029, US
Phone (907) 543-6800
Fax (907) 543-7101
Business Location
PO BOX 1029
ATTN: BH MCCANN TREATMENT CENTER
BETHEL AK, 99559-1029, US
Phone (907) 543-6800
Fax (907) 543-7101
Toxanomy
Taxonomy Code 167G00000X
License State California
License Number PT35735
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According to our database, Mrs. Amber Lynn Dade LPT NPI is 1730488545, taxonomy code is 167G00000X and license number is PT35735, license state is located at California. Amber Lynn Dade LPT physically located at 5016 Noel Polty Blvd., Bethel AK, 99559-1029. NPI Number Amber Lynn Dade LPT has the Individual type.

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1730488545 NPI number is provided on an as is basis without warranty of any kind. 1730488545 is maintained by the National Plan & Provider Enumeration System. The contents of Amber Lynn Dade LPT are for informational purposes only.