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Paris Clack, PT
Licensed Psychiatric Technician in Roseville, California
NPI 1316644792

Paris Clack is a Licensed Psychiatric Technician based in Canoga Park, CA. Paris Clack practices in Roseville, CA and has the professional credentials of PT. The NPI Number for Paris Clack is 1316644792 and holds a License No. 42058 (California).

The current practice location address for Paris Clack is 1133 Coloma Way Ste C, Roseville, CA and can be reached out via phone at 916-774-6456. You can also correspond with Paris Clack through the mailing address at 7246 REMMET AVE, CANOGA PARK, CA - 91303-1531 (mailing address contact number: ).

Location: 1133 Coloma Way Ste C, Roseville, CA, 91303-1531
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316644792
Provider Name
Paris Clack
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
1133 Coloma Way Ste C, Roseville, CA, 91303-1531
Phone Number
916-774-6456
Fax Number
Provider Enumeration Date
02/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1133 Coloma Way Ste C
City
Roseville
State
California
Zip
95661-4480
Phone Number
916-774-6456
Fax Number
person
Provider Business Mailing Address Details
Address
1133 Coloma Way Ste C
City
Roseville
State
California
Zip
95661-4480
Phone Number
916-774-6456
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
42058 (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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