Individual provider · Type 1 NPI

Teodora A. Goltiao, PSYCH TECHNICIAN

Licensed Psychiatric Technician · San Jose, CA

NPI number 1063534964 Active

Practice location

438 N White Rd, Alliance For Community Care Service Team Adult Outpati
San Jose, CA 95127-1439

Fax (408) 254-6838

Mailing address

2001 The Alameda, Alliance For Community Care
San Jose, CA 95126-1136

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPT27607 (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 1063534964

Teodora A. Goltiao, PSYCH TECHNICIAN's National Provider Identifier is 1063534964, issued on Apr 4, 2007. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in San Jose, CA. The record was last updated on Jul 8, 2007.