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Stephanie Vickers
Licensed Psychiatric Technician in Pasadena, California
NPI 1679959696

Stephanie Vickers is a Licensed Psychiatric Technician based in Pasadena, CA. Stephanie Vickers practices in Pasadena, CA. The NPI Number for Stephanie Vickers is 1679959696 and holds a License No. 30787 (California).

The current practice location address for Stephanie Vickers is 36 S Kinneloa Ave, Pasadena, CA and can be reached out via phone at 626-844-3033.

Location: 36 S Kinneloa Ave, Pasadena, CA, 91107-3853
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679959696
Provider Name
Stephanie Vickers
Credential
Provider Entity Type
Individual
Gender
Female
Address
36 S Kinneloa Ave, Pasadena, CA, 91107-3853
Phone Number
626-844-3033
Fax Number
Provider Enumeration Date
07/31/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
36 S Kinneloa Ave
City
Pasadena
State
California
Zip
91107-3853
Phone Number
626-844-3033
Fax Number
person
Provider Business Mailing Address Details
Address
36 S Kinneloa Ave
City
Pasadena
State
California
Zip
91107-3853
Phone Number
626-844-3033
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
30787 (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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