Individual provider · Type 1 NPI

Anita Rose Hagewood, LICENSED PSYCH TECH

Licensed Psychiatric Technician · Fairfield, CA

NPI number 1356820732 Active

Practice location

2101 Courage Dr
Fairfield, CA 94533-6717

Call (707) 253-7015 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPT18280 (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 1356820732

Anita Rose Hagewood, LICENSED PSYCH TECH's National Provider Identifier is 1356820732, issued on Aug 7, 2018. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Fairfield, CA. The record was last updated on Aug 7, 2018.