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Nicole Therese Brazell, LPT
Licensed Psychiatric Technician in Modesto, California
NPI 1437495108

Nicole Therese Brazell is a Licensed Psychiatric Technician based in Modesto, CA. Nicole Therese Brazell practices in Modesto, CA and has the professional credentials of LPT. The NPI Number for Nicole Therese Brazell is 1437495108 and holds a License No. 33087 (California).

The current practice location address for Nicole Therese Brazell is 800 Scenic Dr, Modesto, CA and can be reached out via phone at 559-789-6665.

Location: 800 Scenic Dr, Modesto, CA, 95350-6131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437495108
Provider Name
Nicole Therese Brazell
Credential
LPT
Provider Entity Type
Individual
Gender
Female
Address
800 Scenic Dr, Modesto, CA, 95350-6131
Phone Number
559-789-6665
Fax Number
Provider Enumeration Date
12/27/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
800 Scenic Dr
City
Modesto
State
California
Zip
95350-6131
Phone Number
559-789-6665
Fax Number
person
Provider Business Mailing Address Details
Address
800 Scenic Dr
City
Modesto
State
California
Zip
95350-6131
Phone Number
559-789-6665
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
33087 (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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