Individual provider · Type 1 NPI

Gisela Bandera

Licensed Psychiatric Technician · San Diego, CA

NPI number 1588313951 Active

Practice location

10717 Camino Ruiz Ste 207
San Diego, CA 92126-2364

Call (858) 695-2211 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPT41609 (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 1588313951

Gisela Bandera's National Provider Identifier is 1588313951, issued on Mar 22, 2022. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in San Diego, CA. The record was last updated on Sep 12, 2023.