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Anita Rose Hagewood, LICENSEDPSYCHTECH
Licensed Psychiatric Technician in Fairfield, California
NPI 1356820732

Anita Rose Hagewood is a Licensed Psychiatric Technician based in Fairfield, CA. Anita Rose Hagewood practices in Fairfield, CA and has the professional credentials of LICENSEDPSYCHTECH. The NPI Number for Anita Rose Hagewood is 1356820732 and holds a License No. PT18280 (California).

The current practice location address for Anita Rose Hagewood is 2101 Courage Dr, Fairfield, CA and can be reached out via phone at 707-253-7015.

Location: 2101 Courage Dr, Fairfield, CA, 94533-6717
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356820732
Provider Name
Anita Rose Hagewood
Credential
LICENSEDPSYCHTECH
Provider Entity Type
Individual
Gender
Female
Address
2101 Courage Dr, Fairfield, CA, 94533-6717
Phone Number
707-253-7015
Fax Number
Provider Enumeration Date
08/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2101 Courage Dr
City
Fairfield
State
California
Zip
94533-6717
Phone Number
707-253-7015
Fax Number
person
Provider Business Mailing Address Details
Address
2101 Courage Dr
City
Fairfield
State
California
Zip
94533-6717
Phone Number
707-253-7015
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT18280 (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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