Individual provider · Type 1 NPI

Dominic Miller

Licensed Psychiatric Technician · Fairfield, CA

NPI number 1295258044 Active

Practice location

2101 Courage Dr
Fairfield, CA 94533-6717

Call (707) 428-1131 Map

Mailing address

381 Colonial Cir
Vacaville, CA 95687-6914

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XNone listed

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 1295258044

Dominic Miller's National Provider Identifier is 1295258044, issued on Jul 24, 2017. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Fairfield, CA. The record was last updated on Nov 1, 2024.