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Shelli Hazel Watson, LPT
Licensed Psychiatric Technician in Santa Maria, California
NPI 1184097651

Shelli Hazel Watson is a Licensed Psychiatric Technician based in Santa Maria, CA. Shelli Hazel Watson practices in Santa Maria, CA and has the professional credentials of LPT. The NPI Number for Shelli Hazel Watson is 1184097651 and holds a License No. 40616 (California).

The current practice location address for Shelli Hazel Watson is 116 Agnes Ave, Santa Maria, CA and can be reached out via phone at 805-457-3724.

Location: 116 Agnes Ave, Santa Maria, CA, 93458-7771
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184097651
Provider Name
Shelli Hazel Watson
Credential
LPT
Provider Entity Type
Individual
Gender
Female
Address
116 Agnes Ave, Santa Maria, CA, 93458-7771
Phone Number
805-457-3724
Fax Number
Provider Enumeration Date
11/05/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1205480563 01 CA TELECARE CORPORATION-AGNES AVE
1245897354 01 CA TELECARE CORPORATION
institution
Provider Business Practice Location Address Details
Address
116 Agnes Ave
City
Santa Maria
State
California
Zip
93458-2838
Phone Number
805-457-3724
Fax Number
person
Provider Business Mailing Address Details
Address
116 Agnes Ave
City
Santa Maria
State
California
Zip
93458-2838
Phone Number
805-457-3724
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
40616 (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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