Individual provider · Type 1 NPI

Mary Leona Fisher, 16/1964

Licensed Psychiatric Technician · Costa Mesa, CA

NPI number 1457797862 Active

Practice location

151 Kalmus Dr Ste K3
Costa Mesa, CA 92626-5975

Call (714) 384-3870 Map

Mailing address

115 Paseo De La Serenata
San Clemente, CA 92672-4351

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X23452 (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 1457797862

Mary Leona Fisher, 16/1964's National Provider Identifier is 1457797862, issued on May 13, 2013. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Costa Mesa, CA. The record was last updated on May 13, 2013.