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Wilaim David Boorman, PSYCHIATRICTECHNICI
Licensed Psychiatric Technician in San Luis Obispo, California
NPI 1235297136

Wilaim David Boorman is a Licensed Psychiatric Technician based in Atascadero, CA. Wilaim David Boorman practices in San Luis Obispo, CA and has the professional credentials of PSYCHIATRICTECHNICI. The NPI Number for Wilaim David Boorman is 1235297136 and holds a License No. PT 28462 (California).

The current practice location address for Wilaim David Boorman is 2178 Johnson Ave, San Luis Obispo, CA and can be reached out via phone at 805-237-3170 and via fax at 805-226-3207.

Location: 2178 Johnson Ave, San Luis Obispo, CA, 93422-1188
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235297136
Provider Name
Wilaim David Boorman
Credential
PSYCHIATRICTECHNICI
Provider Entity Type
Individual
Gender
Male
Address
2178 Johnson Ave, San Luis Obispo, CA, 93422-1188
Phone Number
805-237-3170
Fax Number
805-226-3207
Provider Enumeration Date
12/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2178 Johnson Ave
City
San Luis Obispo
State
California
Zip
93401-4535
Phone Number
805-237-3170
Fax Number
805-226-3207
person
Provider Business Mailing Address Details
Address
2178 Johnson Ave
City
San Luis Obispo
State
California
Zip
93401-4535
Phone Number
805-237-3170
Fax Number
805-226-3207
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT 28462 (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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