NPI 1003664350

Brooke Baxstresser

Practitioner Licensed Psychiatric Technician San Luis Obispo, CA

Practice location

Address: 2975 McMillan Ave STE 162, San Luis Obispo, CA 93401-6768
Phone: (805) 439-4890
Mailing address: 2975 McMillan Ave STE 164, San Luis Obispo, CA 93401-6768

Registered specialties

Licensed Psychiatric Technician Primary

Nursing Service Providers Taxonomy 167G00000X Licence 41163 (CA)

Other Licensed Psychiatric Technician providers in California →

Registry record

NPI: 1003664350
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 May 2024
Record last updated: 20 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.