Individual provider · Type 1 NPI

Rhonda Leigh Polk

Licensed Psychiatric Technician · Stockton, CA

NPI number 1316160146 Active

Practice location

1212 N California St
Stockton, CA 95202-1552

Mailing address

5835 Cherokee Rd Spc 14
Stockton, CA 95215-1155

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X20798 (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 1316160146

Rhonda Leigh Polk's National Provider Identifier is 1316160146, issued on Apr 10, 2007. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Stockton, CA. The record was last updated on Jul 8, 2007.