Taxonomy Code 167G00000X(167g00000x)
Licensed Psychiatric Technician. Providers: 32

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Licensed Psychiatric Technician Providers

NPI Name Type Address

1952459455

Donna Marie Ward

Individual

3322 Chanate Rd

Santa Rosa, CA

1770631285

Judy Marie Wetch

Individual

3322 Chanate Rd

Santa Rosa, CA

1932257458

James Richard Woodring

Individual

3322 Chanate Rd

Santa Rosa, CA

1477926194

Andrea Yvonne Quintana I

Individual

1901 Cleveland Ave Ste B

Santa Rosa, CA

1184171134

LVN/LPT Ibrahim Keita

Individual

2148 Slater St

Santa Rosa, CA

1285185819

MR. PSYCH TECH Bruce Black

Individual

2225 Challenger Way

Santa Rosa, CA

1063977460

Gardner Carlson

Individual

2225 Challenger Way

Santa Rosa, CA

1003459181

Megan Gordon

Individual

327 College Ave

Santa Rosa, CA

1457999286

Irma Martinez

Individual

327 College Ave

Santa Rosa, CA

1558975169

Nebiyou Almaw Amshalu

Individual

327 College Ave

Santa Rosa, CA

1841949450

Lauren Sherman

Individual

327 College Ave

Santa Rosa, CA

1043943145

Anita Delos Reyes Salanga

Individual

2225 Challenger Way

Santa Rosa, CA

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Taxonomy Code 167G00000X
Display Name Licensed Psychiatric Technician
Taxonomy Group Nursing Service Providers
Taxonomy Classification Licensed Psychiatric Technician
Definition An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
Effective Date September 30, 2009
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