Individual provider · Type 1 NPI

Kenneth Miranda, LPT

Licensed Psychiatric Technician · San Francisco, CA

NPI number 1023137619 Active

Practice location

375 Woodside Ave, Bldg W-3
San Francisco, CA 94127-1221

Specialties and licenses

Taxonomy	Code	License
Licensed Psychiatric Technician Primary	167G00000X	12479 (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 1023137619

Kenneth Miranda, LPT's National Provider Identifier is 1023137619, issued on Mar 28, 2007. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in San Francisco, CA. The record was last updated on Jul 16, 2007.