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Andra Amory Wasket
Licensed Psychiatric Technician in Fontana, California
NPI 1326639964

Andra Amory Wasket is a Licensed Psychiatric Technician based in Rialto, CA. Andra Amory Wasket practices in Fontana, CA. The NPI Number for Andra Amory Wasket is 1326639964 and holds a License No. 41806 (California).

The current practice location address for Andra Amory Wasket is 14677 Merrill Ave, Fontana, CA and can be reached out via phone at 951-643-2340.

Location: 14677 Merrill Ave, Fontana, CA, 92376-6495
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326639964
Provider Name
Andra Amory Wasket
Credential
Provider Entity Type
Individual
Gender
Male
Address
14677 Merrill Ave, Fontana, CA, 92376-6495
Phone Number
951-643-2340
Fax Number
Provider Enumeration Date
01/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14677 Merrill Ave
City
Fontana
State
California
Zip
92335-4219
Phone Number
951-643-2340
Fax Number
person
Provider Business Mailing Address Details
Address
14677 Merrill Ave
City
Fontana
State
California
Zip
92335-4219
Phone Number
951-643-2340
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
41806 (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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