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Phylicia Smith
Licensed Psychiatric Technician in Rancho Cucamonga, California
NPI 1114359973

Phylicia Smith is a Licensed Psychiatric Technician based in Colton, CA. Phylicia Smith practices in Rancho Cucamonga, CA. The NPI Number for Phylicia Smith is 1114359973 and holds a License No. PT 33961 (California).

The current practice location address for Phylicia Smith is 9500 Etiwanda Ave, Rancho Cucamonga, CA and can be reached out via phone at 909-463-5234.

Location: 9500 Etiwanda Ave, Rancho Cucamonga, CA, 92324-3905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114359973
Provider Name
Phylicia Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
9500 Etiwanda Ave, Rancho Cucamonga, CA, 92324-3905
Phone Number
909-463-5234
Fax Number
Provider Enumeration Date
08/05/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9500 Etiwanda Ave
City
Rancho Cucamonga
State
California
Zip
91739-9662
Phone Number
909-463-5234
Fax Number
person
Provider Business Mailing Address Details
Address
9500 Etiwanda Ave
City
Rancho Cucamonga
State
California
Zip
91739-9662
Phone Number
909-463-5234
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT 33961 (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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