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Daniel Michael Kennedy, PT
Licensed Psychiatric Technician in Colton, California
NPI 1255687174

Daniel Michael Kennedy is a Licensed Psychiatric Technician based in Highland, CA. Daniel Michael Kennedy practices in Colton, CA and has the professional credentials of PT. The NPI Number for Daniel Michael Kennedy is 1255687174 and holds a License No. PT 32991 (California).

The current practice location address for Daniel Michael Kennedy is 400 N Pepper Ave, Colton, CA and can be reached out via phone at 909-580-3144 and via fax at 909-580-2165.

Location: 400 N Pepper Ave, Colton, CA, 92346-1734
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255687174
Provider Name
Daniel Michael Kennedy
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
400 N Pepper Ave, Colton, CA, 92346-1734
Phone Number
909-580-3144
Fax Number
909-580-2165
Provider Enumeration Date
07/29/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
400 N Pepper Ave
City
Colton
State
California
Zip
92324-1801
Phone Number
909-580-3144
Fax Number
909-580-2165
person
Provider Business Mailing Address Details
Address
400 N Pepper Ave
City
Colton
State
California
Zip
92324-1801
Phone Number
909-580-3144
Fax Number
909-580-2165
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT 32991 (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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