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Ms. Isata S Mbawa, LPT
Licensed Psychiatric Technician in San Jose, California
NPI 1346754025

Isata S Mbawa is a Licensed Psychiatric Technician based in San Jose, CA. Isata S Mbawa practices in San Jose, CA and has the professional credentials of LPT. The NPI Number for Isata S Mbawa is 1346754025 and holds a License No. 37848 (California).

The current practice location address for Isata S Mbawa is 4987 Speak Ln, San Jose, CA and can be reached out via phone at 408-417-1164.

Location: 4987 Speak Ln, San Jose, CA, 95118-2767
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346754025
Provider Name
Isata S Mbawa
Credential
LPT
Provider Entity Type
Individual
Gender
Female
Address
4987 Speak Ln, San Jose, CA, 95118-2767
Phone Number
408-417-1164
Fax Number
Provider Enumeration Date
11/16/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
16127819 01 CA KAISER PERMANENTE
institution
Provider Business Practice Location Address Details
Address
4987 Speak Ln
City
San Jose
State
California
Zip
95118-2767
Phone Number
408-417-1164
Fax Number
person
Provider Business Mailing Address Details
Address
4987 Speak Ln
City
San Jose
State
California
Zip
95118-2767
Phone Number
408-417-1164
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
37848 (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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