Individual provider · Type 1 NPI

Debra Marie Benevidez

Licensed Psychiatric Technician · Placerville, CA

NPI number 1225464308 Active

Practice location

2811 Cold Springs Rd
Placerville, CA 95667-4044

Call (530) 621-6213 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPT 36200 (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 1225464308

Debra Marie Benevidez's National Provider Identifier is 1225464308, issued on Sep 19, 2013. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Placerville, CA. The record was last updated on Sep 19, 2013.