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Dominique C Hodges, PT
Licensed Psychiatric Technician in Fairfield, California
NPI 1831856111

Dominique C Hodges is a Licensed Psychiatric Technician based in Fairfield, CA. Dominique C Hodges practices in Fairfield, CA and has the professional credentials of PT. The NPI Number for Dominique C Hodges is 1831856111 and holds a License No. 40513 (California).

The current practice location address for Dominique C Hodges is 2101 Courage Dr, Fairfield, CA and can be reached out via phone at 707-428-1131.

Location: 2101 Courage Dr, Fairfield, CA, 94533-6717
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831856111
Provider Name
Dominique C Hodges
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
2101 Courage Dr, Fairfield, CA, 94533-6717
Phone Number
707-428-1131
Fax Number
Provider Enumeration Date
11/22/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2101 Courage Dr
City
Fairfield
State
California
Zip
94533-6717
Phone Number
707-428-1131
Fax Number
person
Provider Business Mailing Address Details
Address
2101 Courage Dr
City
Fairfield
State
California
Zip
94533-6717
Phone Number
707-428-1131
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
40513 (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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