Individual provider · Type 1 NPI

Kenn Nicholas Ungab Talaid

Licensed Psychiatric Technician · San Jose, CA

NPI number 1568290641 Active

Practice location

650 S Bascom Ave
San Jose, CA 95128-2601

Fax (408) 642-6052

Mailing address

1922 The Alameda
San Jose, CA 95126-1457

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X41801 (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 1568290641

Kenn Nicholas Ungab Talaid's National Provider Identifier is 1568290641, issued on Jul 22, 2024. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in San Jose, CA. The record was last updated on Jul 26, 2024.