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Mary Hart
Licensed Psychiatric Technician in Santa Rosa, California
NPI 1730241373

Mary Hart is a Licensed Psychiatric Technician based in Santa Rosa, CA. Mary Hart practices in Santa Rosa, CA. The NPI Number for Mary Hart is 1730241373 and holds a License No. 16575 (California).

The current practice location address for Mary Hart is 3322 Chanate Rd, Santa Rosa, CA and can be reached out via phone at 707-565-4980.

Location: 3322 Chanate Rd, Santa Rosa, CA, 95404-1708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730241373
Provider Name
Mary Hart
Credential
Provider Entity Type
Individual
Gender
Female
Address
3322 Chanate Rd, Santa Rosa, CA, 95404-1708
Phone Number
707-565-4980
Fax Number
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3322 Chanate Rd
City
Santa Rosa
State
California
Zip
95404-1708
Phone Number
707-565-4980
Fax Number
person
Provider Business Mailing Address Details
Address
3322 Chanate Rd
City
Santa Rosa
State
California
Zip
95404-1708
Phone Number
707-565-4980
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
16575 (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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