Individual provider · Type 1 NPI

Kathleen Louise Bradley, P. T.

Licensed Psychiatric Technician · Lakeport, CA

NPI number 1376690776 Active

Practice location

991 Parallel Dr
Lakeport, CA 95453

Call (707) 263-4338 Map

Mailing address

P.o. Box 671
Cobb, CA 95426-0671

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPT 30664 (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 1376690776

Kathleen Louise Bradley, P. T.'s National Provider Identifier is 1376690776, issued on Jan 5, 2007. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Lakeport, CA. The record was last updated on Jul 8, 2007.