Provider Demographics
NPI:1104984020
Name:BRAR, HARMEET SINGH (PSYCH TECH, RN)
Entity type:Individual
Prefix:MR
First Name:HARMEET
Middle Name:SINGH
Last Name:BRAR
Suffix:
Gender:M
Credentials:PSYCH TECH, RN
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:PO BOX 21
Mailing Address - Street 2:
Mailing Address - City:ATASCADERO
Mailing Address - State:CA
Mailing Address - Zip Code:93423-0021
Mailing Address - Country:US
Mailing Address - Phone:805-462-7117
Mailing Address - Fax:
Practice Address - Street 1:2178 JOHNSON AVE
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-4535
Practice Address - Country:US
Practice Address - Phone:805-781-4711
Practice Address - Fax:805-781-4145
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2014-09-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA786001163W00000X
CA24970167G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No167G00000XNursing Service ProvidersLicensed Psychiatric Technician