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Ken O Booth
Licensed Psychiatric Technician in Fairfield, California
NPI 1841975786

Ken O Booth is a Licensed Psychiatric Technician based in Fairfield, CA. Ken O Booth practices in Fairfield, CA. The NPI Number for Ken O Booth is 1841975786 and holds a License No. PT37597 (California).

The current practice location address for Ken O Booth 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
1841975786
Provider Name
Ken O Booth
Credential
Provider Entity Type
Individual
Gender
Male
Address
2101 Courage Dr, Fairfield, CA, 94533-6717
Phone Number
707-428-1131
Fax Number
Provider Enumeration Date
06/19/2023
Last Update Date
03/10/2024
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.
PT37597 (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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