Provider Demographics
NPI:1932304391
Name:SCHLIMGEN, MILDRED ELINORE (LPT)
Entity Type:Individual
Prefix:MRS
First Name:MILDRED
Middle Name:ELINORE
Last Name:SCHLIMGEN
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 MARKET STREET
Mailing Address - Street 2:
Mailing Address - City:PORT HUENEME
Mailing Address - State:CA
Mailing Address - Zip Code:93041
Mailing Address - Country:US
Mailing Address - Phone:805-283-4737
Mailing Address - Fax:
Practice Address - Street 1:1954 LOMA DR
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-3719
Practice Address - Country:US
Practice Address - Phone:310-867-0225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-17
Last Update Date:2017-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT27981167G00000X
CA560036BP324500000X
CA560036AP324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No167G00000XNursing Service ProvidersLicensed Psychiatric Technician