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Tyda Viveros
Licensed Psychiatric Technician in Stockton, California
NPI 1063946002

Tyda Viveros is a Licensed Psychiatric Technician based in Stockton, CA. Tyda Viveros practices in Stockton, CA. The NPI Number for Tyda Viveros is 1063946002 and holds a License No. 37052 (California).

The current practice location address for Tyda Viveros is 1111 N El Dorado St, Stockton, CA and can be reached out via phone at 209-938-0228 and via fax at 209-938-0281.

Location: 1111 N El Dorado St, Stockton, CA, 95202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063946002
Provider Name
Tyda Viveros
Credential
Provider Entity Type
Individual
Gender
Female
Address
1111 N El Dorado St, Stockton, CA, 95202
Phone Number
209-938-0228
Fax Number
209-938-0281
Provider Enumeration Date
04/17/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1111 N El Dorado St
City
Stockton
State
California
Zip
95202-1305
Phone Number
209-938-0228
Fax Number
209-938-0281
person
Provider Business Mailing Address Details
Address
1111 N El Dorado St
City
Stockton
State
California
Zip
95202-1305
Phone Number
209-938-0228
Fax Number
209-938-0281
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
37052 (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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