Individual provider · Type 1 NPI
Isata S. Mbawa, LPT
Licensed Psychiatric Technician · San Jose, CA
Practice location
4987 Speak Ln
San Jose, CA 95118-2767
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Psychiatric Technician Primary | 167G00000X | 37848 (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 1346754025
Isata S. Mbawa, LPT's National Provider Identifier is 1346754025, issued on Nov 16, 2017. 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 Nov 16, 2017.