Individual provider · Type 1 NPI

Denise Black

Licensed Psychiatric Technician · Santa Rosa, CA

NPI number 1194029371 Active

Practice location

327 College Ave
Santa Rosa, CA 95401-5117

Fax (707) 568-2804

Specialties and licenses

Taxonomy	Code	License
Licensed Psychiatric Technician Primary	167G00000X	PT35099 (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…

49 other providers at this address

Other licensed psychiatric technician providers in Santa Rosa

See all in Santa Rosa →

About NPI 1194029371

Denise Black's National Provider Identifier is 1194029371, issued on Jan 3, 2011. 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 Jan 3, 2011.