Individual provider · Type 1 NPI
Midori Blasingame
Licensed Psychiatric Technician · Sacramento, CA
Practice location
3810 Rosin Ct Ste 180
Sacramento, CA 95834-1656
Fax (916) 283-8259
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Psychiatric Technician Primary | 167G00000X | 41915 (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 1871179358
Midori Blasingame's National Provider Identifier is 1871179358, issued on Mar 23, 2021. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Sacramento, CA. The record was last updated on Mar 23, 2021.