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Phyllis Louise Rodriguez
Licensed Psychiatric Technician in Fresno, California
NPI 1619370004

Phyllis Louise Rodriguez is a Licensed Psychiatric Technician based in Madera, CA. Phyllis Louise Rodriguez practices in Fresno, CA. The NPI Number for Phyllis Louise Rodriguez is 1619370004 and holds a License No. PT 35583 (California).

The current practice location address for Phyllis Louise Rodriguez is 496 S Barton Ave, Fresno, CA and can be reached out via phone at 559-374-3990.

Location: 496 S Barton Ave, Fresno, CA, 93637-5956
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619370004
Provider Name
Phyllis Louise Rodriguez
Credential
Provider Entity Type
Individual
Gender
Female
Address
496 S Barton Ave, Fresno, CA, 93637-5956
Phone Number
559-374-3990
Fax Number
Provider Enumeration Date
09/30/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
496 S Barton Ave
City
Fresno
State
California
Zip
93702-2985
Phone Number
559-374-3990
Fax Number
person
Provider Business Mailing Address Details
Address
496 S Barton Ave
City
Fresno
State
California
Zip
93702-2985
Phone Number
559-374-3990
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT 35583 (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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