Individual provider · Type 1 NPI

Roslynn Pertrise Russell, PT 34682

Licensed Psychiatric Technician · Fresno, CA

NPI number 1679349765 Active

Practice location

496 S Barton Ave
Fresno, CA 93702-2985

Call (559) 860-4422 Map

Mailing address

3433 W Shaw Ave Ste 108
Fresno, CA 93711-3229

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X34682 (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 1679349765

Roslynn Pertrise Russell, PT 34682's National Provider Identifier is 1679349765, issued on Nov 29, 2023. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Fresno, CA. The record was last updated on Mar 7, 2024.