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Ms. Kathleen Louise Bradley, PT
Licensed Psychiatric Technician in Lakeport, California
NPI 1376690776

Kathleen Louise Bradley is a Licensed Psychiatric Technician based in Cobb, CA. Kathleen Louise Bradley practices in Lakeport, CA and has the professional credentials of PT. The NPI Number for Kathleen Louise Bradley is 1376690776 and holds a License No. PT 30664 (California).

The current practice location address for Kathleen Louise Bradley is 991 Parallel Dr, Lakeport, CA and can be reached out via phone at 707-263-4338.

Location: 991 Parallel Dr, Lakeport, CA, 95426-0671
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376690776
Provider Name
Kathleen Louise Bradley
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
991 Parallel Dr, Lakeport, CA, 95426-0671
Phone Number
707-263-4338
Fax Number
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
991 Parallel Dr
City
Lakeport
State
California
Zip
95453
Phone Number
707-263-4338
Fax Number
person
Provider Business Mailing Address Details
Address
991 Parallel Dr
City
Lakeport
State
California
Zip
95453
Phone Number
707-263-4338
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT 30664 (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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