Individual provider · Type 1 NPI

Miranda Susie Rose

Licensed Psychiatric Technician · Sacramento, CA

NPI number 1568134476 Active

Practice location

4612 Roosevelt Ave
Sacramento, CA 95820-4520

Call (916) 379-5876 Map

Mailing address

18225 Hale Ave
Morgan Hill, CA 95037-3547

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X41809 (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 1568134476

Miranda Susie Rose's National Provider Identifier is 1568134476, issued on Sep 29, 2021. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Sacramento, CA. The record was last updated on Sep 29, 2021.