Individual provider · Type 1 NPI

Pedro Aljecera Tacorda Jr., PT

Licensed Psychiatric Technician · Campbell, CA

NPI number 1710387808 Active

Practice location

251 Llewellyn Ave
Campbell, CA 95008-1940

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist	106H00000X	None listed
Licensed Psychiatric Technician Primary	167G00000X	PT35370 (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 1710387808

Pedro Aljecera Tacorda Jr., PT's National Provider Identifier is 1710387808, issued on Aug 26, 2014. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Campbell, CA. The record was last updated on Feb 5, 2019.