Katherine Lynn Aculco, PT
Individual provider Active NPI Licensed Psychiatric Technician · Downey, CA
NPI 1609945310 · NPPES record last updated Aug 6, 2007
Key facts
- NPI
- 1609945310
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Psychiatric Technician 167G00000X
- License
- PT 30624 (CA)
- Practice address
- 7285 Quill Dr
Downey, CA 90242-2001 - Phone
- (562) 940-8732
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 30624 | CA | MD | Licensed Psychiatric Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | PT 30624 | CA | Yes |
Addresses
Primary practice location
7285 Quill Dr
Downey, CA 90242-2001
Mailing address
7904 Bright Ave
Whittier, CA 90602-2234
Phone (562) 789-1929
Other providers in Downey, CA
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- Robert Acosta
- Brian Howard Adair
- Teeni Adal
- Julio G Adame
- Michele Adame
- Alessandra Adamo
All providers in Downey, CA · Licensed Psychiatric Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.