Individual provider · Type 1 NPI

Megan Gordon

Licensed Psychiatric Technician · Santa Rosa, CA

NPI number 1003459181 Active

Practice location

327 College Ave
Santa Rosa, CA 95401-5117

Mailing address

2390 Donna Maria Way
Santa Rosa, CA 95401-5789

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPT22049 (CA)

Licensed Psychiatric Technician: 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 dis…

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About NPI 1003459181

Megan Gordon's National Provider Identifier is 1003459181, issued on Oct 22, 2019. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Oct 22, 2019.