Individual
WILLIAM TAMOSHAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
1400 EMELINE AVE, SANTA CRUZ, CA 95060-1976
(831) 454-4170
(831) 454-4663
Mailing address
1400 EMELINE AVE, SANTA CRUZ, CA 95060-1976
(831) 454-4170
(831) 454-4663
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
LPT 13840
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT 13840
PSYCHIATRIC TECH LICENSE
—
Enumeration date
06/29/2007
Last updated
07/08/2007
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