Individual provider · Type 1 NPI

Stephanie Vickers

Licensed Psychiatric Technician · Pasadena, CA

NPI number 1679959696 Active

Practice location

36 S Kinneloa Ave, Suite 200
Pasadena, CA 91107-3853

Call (626) 844-3033 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X30787 (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 1679959696

Stephanie Vickers's National Provider Identifier is 1679959696, issued on Jul 31, 2015. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Pasadena, CA. The record was last updated on Jul 31, 2015.