Individual provider · Type 1 NPI

Sho Kitada

Licensed Psychiatric Technician · Fontana, CA

NPI number 1871145797 Active

Practice location

14677 Merrill Ave.
Fontana, CA 92335

Call (951) 643-2340 Map

Mailing address

2126 Eadbury Ave
Rowland Heights, CA 91748-4030

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X41070 (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 1871145797

Sho Kitada's National Provider Identifier is 1871145797, issued on Jul 11, 2019. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Fontana, CA. The record was last updated on Jul 11, 2019.