Individual provider · Type 1 NPI
Mary Redempta Macavoray
Licensed Psychiatric Technician · San Jose, CA
Practice location
436 N White Rd
San Jose, CA 95127-1439
Fax (408) 642-6052
Mailing address
1922 The Alameda Ste 316
San Jose, CA 95126-1461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Psychiatric Technician Primary | 167G00000X | 35027 (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 1285764845
Mary Redempta Macavoray's National Provider Identifier is 1285764845, issued on Mar 6, 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 Mar 28, 2023.