Individual provider · Type 1 NPI

Fredrick Davis Robertson

Licensed Psychiatric Technician · Santa Rosa, CA

NPI number 1467509059 Active

Practice location

3322 Chanate Rd
Santa Rosa, CA 95404-1708

Call (707) 565-4980 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X24593 (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 1467509059

Fredrick Davis Robertson's National Provider Identifier is 1467509059, issued on Jan 4, 2007. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Aug 18, 2014.