Individual provider · Type 1 NPI
Kirstie Wichtendahl, LPT
Licensed Psychiatric Technician · San Andreas, CA
Practice location
3585 Hawver Rd.
San Andreas, CA 95249-9524
Mailing address
PO Box 1144
San Andreas, CA 95249-1144
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Psychiatric Technician Primary | 167G00000X | 40011 (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…
3 other providers at this address
About NPI 1861166910
Kirstie Wichtendahl, LPT's National Provider Identifier is 1861166910, issued on Aug 3, 2021. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in San Andreas, CA. The record was last updated on Aug 3, 2021.