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Debra Ellis
Licensed Psychiatric Technician in Fair Oaks, California
NPI 1780090340

Debra Ellis is a Licensed Psychiatric Technician based in Nevada City, CA. Debra Ellis practices in Fair Oaks, CA. The NPI Number for Debra Ellis is 1780090340 and holds a License No. PT18954 (California).

The current practice location address for Debra Ellis is 7340 Kilborn Dr, Fair Oaks, CA and can be reached out via phone at 707-484-2276 and via fax at 916-974-7851.

Location: 7340 Kilborn Dr, Fair Oaks, CA, 95959-2618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780090340
Provider Name
Debra Ellis
Credential
Provider Entity Type
Individual
Gender
Female
Address
7340 Kilborn Dr, Fair Oaks, CA, 95959-2618
Phone Number
707-484-2276
Fax Number
916-974-7851
Provider Enumeration Date
07/03/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7340 Kilborn Dr
City
Fair Oaks
State
California
Zip
95628-3336
Phone Number
707-484-2276
Fax Number
916-974-7851
person
Provider Business Mailing Address Details
Address
7340 Kilborn Dr
City
Fair Oaks
State
California
Zip
95628-3336
Phone Number
707-484-2276
Fax Number
916-974-7851
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT18954 (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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