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Mary Leona Fisher, 16/1964
Licensed Psychiatric Technician in Costa Mesa, California
NPI 1457797862

Mary Leona Fisher is a Licensed Psychiatric Technician based in San Clemente, CA. Mary Leona Fisher practices in Costa Mesa, CA and has the professional credentials of 16/1964. The NPI Number for Mary Leona Fisher is 1457797862 and holds a License No. 23452 (California).

The current practice location address for Mary Leona Fisher is 151 Kalmus Dr Ste K3, Costa Mesa, CA and can be reached out via phone at 714-384-3870.

Location: 151 Kalmus Dr Ste K3, Costa Mesa, CA, 92672-4351
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457797862
Provider Name
Mary Leona Fisher
Credential
16/1964
Provider Entity Type
Individual
Gender
Female
Address
151 Kalmus Dr Ste K3, Costa Mesa, CA, 92672-4351
Phone Number
714-384-3870
Fax Number
Provider Enumeration Date
05/13/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
151 Kalmus Dr Ste K3
City
Costa Mesa
State
California
Zip
92626-5975
Phone Number
714-384-3870
Fax Number
person
Provider Business Mailing Address Details
Address
151 Kalmus Dr Ste K3
City
Costa Mesa
State
California
Zip
92626-5975
Phone Number
714-384-3870
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
23452 (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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