Individual provider · Type 1 NPI
Miu Ken Fong
Licensed Psychiatric Technician · San Leandro, CA
Practice location
15200 Foothill Blvd
San Leandro, CA 94578-1013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Psychiatric Technician Primary | 167G00000X | 28430 (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 1437818028
Miu Ken Fong's National Provider Identifier is 1437818028, issued on Dec 11, 2021. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in San Leandro, CA. The record was last updated on Dec 11, 2021.