Individual provider · Type 1 NPI
Mellissa Derder, LVN
Licensed Psychiatric Technician · Chico, CA
Practice location
592 Rio Lindo Ave
Chico, CA 95926-1817
Mailing address
457 Scarlet Oak Dr
Gridley, CA 95948-3221
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Psychiatric Technician Primary | 167G00000X | PT34371 (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 1417185059
Mellissa Derder, LVN's National Provider Identifier is 1417185059, issued on Jun 22, 2009. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Chico, CA. The record was last updated on Jun 22, 2009.