Individual provider · Type 1 NPI

Paris Clack, PT

Licensed Psychiatric Technician · Roseville, CA

NPI number 1316644792 Active

Practice location

1133 Coloma Way Ste C
Roseville, CA 95661-4480

Call (916) 774-6456 Map

Mailing address

7246 Remmet Ave
Canoga Park, CA 91303-1531

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X42058 (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 1316644792

Paris Clack, PT's National Provider Identifier is 1316644792, issued on Feb 15, 2023. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Roseville, CA. The record was last updated on Feb 15, 2023.