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Miss Krystal Star Dixon, LPT
Licensed Psychiatric Technician in Stockton, California
NPI 1629595137

Krystal Star Dixon is a Licensed Psychiatric Technician based in Stockton, CA. Krystal Star Dixon practices in Stockton, CA and has the professional credentials of LPT. The NPI Number for Krystal Star Dixon is 1629595137 and holds a License No. PT37482 (California).

The current practice location address for Krystal Star Dixon is 1414 N California St, Stockton, CA and can be reached out via phone at 209-468-4202.

Location: 1414 N California St, Stockton, CA, 95202-1515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629595137
Provider Name
Krystal Star Dixon
Credential
LPT
Provider Entity Type
Individual
Gender
Female
Address
1414 N California St, Stockton, CA, 95202-1515
Phone Number
209-468-4202
Fax Number
Provider Enumeration Date
08/25/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1414 N California St
City
Stockton
State
California
Zip
95202-1515
Phone Number
209-468-4202
Fax Number
person
Provider Business Mailing Address Details
Address
1414 N California St
City
Stockton
State
California
Zip
95202-1515
Phone Number
209-468-4202
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT37482 (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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