Individual provider · Type 1 NPI
Nicole Therese Brazell, LPT
Licensed Psychiatric Technician · Modesto, CA
Practice location
800 Scenic Dr
Modesto, CA 95350-6131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Psychiatric Technician Primary | 167G00000X | 33087 (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 1437495108
Nicole Therese Brazell, LPT's National Provider Identifier is 1437495108, issued on Dec 27, 2012. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Modesto, CA. The record was last updated on Dec 27, 2012.