Individual provider · Type 1 NPI

Medina Tahir

Licensed Psychiatric Technician · Campbell, CA

NPI number 1295116226 Active

Practice location

251 Llewellyn Ave
Campbell, CA 95008-1940

Mailing address

986 Almaden Lake Dr
San Jose, CA 95123-5375

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPT35241 (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 1295116226

Medina Tahir's National Provider Identifier is 1295116226, issued on Jun 16, 2015. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Campbell, CA. The record was last updated on Jun 16, 2015.