Individual
STEVEN RALPH COLWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
637 W HAMMOND AVE, FRESNO, CA 93728-2200
(559) 761-7944
Mailing address
637 W HAMMOND AVE, APT B., FRESNO, CA 93728-2200
(559) 761-7944
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT22969
CA
Other
Enumeration date
11/20/2008
Last updated
11/04/2011
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