Individual provider · Type 1 NPI
Benjamin August Taft
Child & Adolescent Psychiatric/Mental Health Registered Nurse · San Leandro, CA
NPI number
1629104500
Active
Practice location
2275 Arlington Dr
San Leandro, CA 94578-1132
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary | 163WP0807X | 95035527 (CA) |
Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1629104500
Benjamin August Taft's National Provider Identifier is 1629104500, issued on Feb 26, 2007. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in San Leandro, CA. The record was last updated on Aug 28, 2014.