Individual provider · Type 1 NPI
Corey Thomas Baker
Licensed Psychiatric Technician · Atascadero, CA
Practice location
5205 Cascabel Rd
Atascadero, CA 93422-2316
Mailing address
2945 Mcmillan Ave Ste 240
San Luis Obispo, CA 93401-6771
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Psychiatric Technician Primary | 167G00000X | 41105 (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 1164067229
Corey Thomas Baker's National Provider Identifier is 1164067229, issued on Nov 13, 2019. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Atascadero, CA. The record was last updated on Nov 13, 2019.