Individual provider · Type 1 NPI

Edward Dennis, PT

Licensed Psychiatric Technician · Roseville, CA

NPI number 1124781778 Active

Practice location

406 Sunrise Ave Ste 300
Roseville, CA 95661-4106

Call (530) 470-2425 Map

Mailing address

10041 Lode Line Way
Grass Valley, CA 95949-9296

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X37564 (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 1124781778

Edward Dennis, PT's National Provider Identifier is 1124781778, issued on Oct 20, 2021. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Roseville, CA. The record was last updated on Oct 20, 2021.