Individual provider · Type 1 NPI
Mariah Michelle Davila, PT
Licensed Psychiatric Technician · Hanford, CA
Practice location
1529 W Sidonia St
Hanford, CA 93230
Mailing address
4411 E Kings Canyon Rd # 319
Fresno, CA 93702-3604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Psychiatric Technician Primary | 167G00000X | 38198 (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 1972094597
Mariah Michelle Davila, PT's National Provider Identifier is 1972094597, issued on May 21, 2018. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Hanford, CA. The record was last updated on May 21, 2018.