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Kirstie Wichtendahl, LPT
Licensed Psychiatric Technician in San Andreas, California
NPI 1861166910

Kirstie Wichtendahl is a Licensed Psychiatric Technician based in San Andreas, CA. Kirstie Wichtendahl practices in San Andreas, CA and has the professional credentials of LPT. The NPI Number for Kirstie Wichtendahl is 1861166910 and holds a License No. 40011 (California).

The current practice location address for Kirstie Wichtendahl is 3585 Hawver Rd., San Andreas, CA and can be reached out via phone at 209-754-1249.

Location: 3585 Hawver Rd., San Andreas, CA, 95249-1144
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861166910
Provider Name
Kirstie Wichtendahl
Credential
LPT
Provider Entity Type
Individual
Gender
Female
Address
3585 Hawver Rd., San Andreas, CA, 95249-1144
Phone Number
209-754-1249
Fax Number
Provider Enumeration Date
08/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3585 Hawver Rd.
City
San Andreas
State
California
Zip
95249-9524
Phone Number
209-754-1249
Fax Number
person
Provider Business Mailing Address Details
Address
3585 Hawver Rd.
City
San Andreas
State
California
Zip
95249-9524
Phone Number
209-754-1249
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
40011 (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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