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Ms. Amanda Johanna Menary
Licensed Psychiatric Technician in Santa Rosa, California
NPI 1851644371

Amanda Johanna Menary is a Licensed Psychiatric Technician based in Santa Rosa, CA. Amanda Johanna Menary practices in Santa Rosa, CA. The NPI Number for Amanda Johanna Menary is 1851644371 and holds a License No. PT36689 (California).

The current practice location address for Amanda Johanna Menary is 1901 Cleveland Ave, Santa Rosa, CA and can be reached out via phone at 707-576-0818 and via fax at 707-576-7845.

Location: 1901 Cleveland Ave, Santa Rosa, CA, 95401-5409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851644371
Provider Name
Amanda Johanna Menary
Credential
Provider Entity Type
Individual
Gender
Female
Address
1901 Cleveland Ave, Santa Rosa, CA, 95401-5409
Phone Number
707-576-0818
Fax Number
707-576-7845
Provider Enumeration Date
10/22/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1901 Cleveland Ave
City
Santa Rosa
State
California
Zip
95401-4282
Phone Number
707-576-0818
Fax Number
707-576-7845
person
Provider Business Mailing Address Details
Address
1901 Cleveland Ave
City
Santa Rosa
State
California
Zip
95401-4282
Phone Number
707-576-0818
Fax Number
707-576-7845
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT36689 (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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