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Matt Macarthur Van Blair
Licensed Psychiatric Technician in Santa Maria, California
NPI 1447754742

Matt Macarthur Van Blair is a Licensed Psychiatric Technician based in Santa Maria, CA. Matt Macarthur Van Blair practices in Santa Maria, CA. The NPI Number for Matt Macarthur Van Blair is 1447754742 and holds a License No. 37368 (California).

The current practice location address for Matt Macarthur Van Blair is 116 Agnes Ave, Santa Maria, CA and can be reached out via phone at 805-457-3724.

Location: 116 Agnes Ave, Santa Maria, CA, 93458-2838
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447754742
Provider Name
Matt Macarthur Van Blair
Credential
Provider Entity Type
Individual
Gender
Male
Address
116 Agnes Ave, Santa Maria, CA, 93458-2838
Phone Number
805-457-3724
Fax Number
Provider Enumeration Date
03/21/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1205480563 01 AGNES AVE
institution
Provider Business Practice Location Address Details
Address
116 Agnes Ave
City
Santa Maria
State
California
Zip
93458-2838
Phone Number
805-457-3724
Fax Number
person
Provider Business Mailing Address Details
Address
116 Agnes Ave
City
Santa Maria
State
California
Zip
93458-2838
Phone Number
805-457-3724
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
37368 (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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