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Dominic Miller
Licensed Psychiatric Technician in Fairfield, California
NPI 1295258044

Dominic Miller is a Licensed Psychiatric Technician based in Vacaville, CA. Dominic Miller practices in Fairfield, CA. The NPI Number for Dominic Miller is 1295258044 and holds a License No. (California).

The current practice location address for Dominic Miller is 2101 Courage Dr, Fairfield, CA and can be reached out via phone at 707-428-1131.

Location: 2101 Courage Dr, Fairfield, CA, 95687-6914
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295258044
Provider Name
Dominic Miller
Credential
Provider Entity Type
Individual
Gender
Male
Address
2101 Courage Dr, Fairfield, CA, 95687-6914
Phone Number
707-428-1131
Fax Number
Provider Enumeration Date
07/24/2017
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
2101 Courage Dr
City
Fairfield
State
California
Zip
94533-6717
Phone Number
707-428-1131
Fax Number
person
Provider Business Mailing Address Details
Address
2101 Courage Dr
City
Fairfield
State
California
Zip
94533-6717
Phone Number
707-428-1131
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
()
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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