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NPI Code Detail

MEDICARE: ASHLEY ERIN SNOW LPT

MEDICARE:   ASHLEY ERIN SNOW  LPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1167G00000XLicensed Psychiatric TechnicianPT40413CA

General Provider Information

NPI Number : 1508523119
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY ERIN SNOW LPT
Provider Business Mailing Address
First Line : 5212 E LANAI ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90808-3422
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5212 E LANAI ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90808-3422
Country : US
Telephone Number : 562-519-5798
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2021
Last Update Date : 11/18/2021

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Directions to “ ASHLEY ERIN SNOW LPT” Practice Location

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