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Elizabeth Ryan Vidovich, LVN
Licensed Psychiatric Technician in San Jose, California
NPI 1033543731

Elizabeth Ryan Vidovich is a Licensed Psychiatric Technician based in San Jose, CA. Elizabeth Ryan Vidovich practices in San Jose, CA and has the professional credentials of LVN. The NPI Number for Elizabeth Ryan Vidovich is 1033543731 and holds a License No. (California).

The current practice location address for Elizabeth Ryan Vidovich is 2540 Forest Ave, San Jose, CA and can be reached out via phone at 408-642-5039 and via fax at 408-642-5039. You can also correspond with Elizabeth Ryan Vidovich through the mailing address at 2540 FOREST AVE, SAN JOSE, CA - 95117-1117 (mailing address contact number: 408-642-5039).

Location: 2540 Forest Ave, San Jose, CA, 95117-1117
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033543731
Provider Name
Elizabeth Ryan Vidovich
Credential
LVN
Provider Entity Type
Individual
Gender
Female
Address
2540 Forest Ave, San Jose, CA, 95117-1117
Phone Number
408-642-5039
Fax Number
408-642-5039
Provider Enumeration Date
08/29/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2540 Forest Ave
City
San Jose
State
California
Zip
95117-1117
Phone Number
408-642-5039
Fax Number
408-642-5039
person
Provider Business Mailing Address Details
Address
2540 Forest Ave
City
San Jose
State
California
Zip
95117-1117
Phone Number
408-642-5039
Fax Number
408-642-5039
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
VN203070 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
VN230370 (California)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
person
Provider's Taxonomy Details 3
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
(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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