Individual
SCOTT CLARK HOSTETTER-LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCHIATRIC TECH
Contact information
Practice address
3211 COHASSET RD STE 130, CHICO, CA 95973-5403
(530) 552-5058
(530) 879-3823
Mailing address
3211 COHASSET RD STE 130, CHICO, CA 95973-5403
(530) 321-4608
(530) 879-3823
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
42893
CA
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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