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Tracy Corner
Licensed Psychiatric Technician in San Mateo, California
NPI 1033258421

Tracy Corner is a Licensed Psychiatric Technician based in Woodside, CA. Tracy Corner practices in San Mateo, CA. The NPI Number for Tracy Corner is 1033258421 and holds a License No. PT29823 (California).

The current practice location address for Tracy Corner is 136 N San Mateo Dr, San Mateo, CA and can be reached out via phone at 650-373-0777 and via fax at 650-373-0778. You can also correspond with Tracy Corner through the mailing address at 521 ROCKY WAY, WOODSIDE, CA - 94062-4021 (mailing address contact number: 650-599-9419).

Location: 136 N San Mateo Dr, San Mateo, CA, 94062-4021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033258421
Provider Name
Tracy Corner
Credential
Provider Entity Type
Individual
Gender
Female
Address
136 N San Mateo Dr, San Mateo, CA, 94062-4021
Phone Number
650-373-0777
Fax Number
650-373-0778
Provider Enumeration Date
02/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PT29823 01 CA LPT
institution
Provider Business Practice Location Address Details
Address
136 N San Mateo Dr
City
San Mateo
State
California
Zip
94401-2777
Phone Number
650-373-0777
Fax Number
650-373-0778
person
Provider Business Mailing Address Details
Address
136 N San Mateo Dr
City
San Mateo
State
California
Zip
94401-2777
Phone Number
650-373-0777
Fax Number
650-373-0778
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT29823 (California)
Definition
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 disorders and developmental disabilities.
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