Individual provider · Type 1 NPI

Amanda Johanna Menary

Licensed Psychiatric Technician · Santa Rosa, CA

NPI number 1851644371 Active

Practice location

1901 Cleveland Ave
Santa Rosa, CA 95401-4282

Call (707) 576-0818 Map

Fax (707) 576-7845

Mailing address

612 Palomino Dr
Santa Rosa, CA 95401-5409

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPT36689 (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 1851644371

Amanda Johanna Menary's National Provider Identifier is 1851644371, issued on Oct 22, 2012. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Oct 22, 2012.