Individual provider · Type 1 NPI

Grace Gotos Phan, LPT

Licensed Psychiatric Technician · Stockton, CA

NPI number 1912235276 Active

Practice location

2812 Breaker Way
Stockton, CA 95209-4265

Specialties and licenses

Taxonomy	Code	License
Technician	374700000X	PT32760 (CA)
Licensed Psychiatric Technician Primary	167G00000X	PT32760 (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 1912235276

Grace Gotos Phan, LPT's National Provider Identifier is 1912235276, issued on Nov 25, 2009. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Stockton, CA. The record was last updated on Apr 16, 2026.