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Mr. Richard Wayne Phillips, PT
Licensed Psychiatric Technician in Eureka, California
NPI 1891951141

Richard Wayne Phillips is a Licensed Psychiatric Technician based in Eureka, CA. Richard Wayne Phillips practices in Eureka, CA and has the professional credentials of PT. The NPI Number for Richard Wayne Phillips is 1891951141 and holds a License No. PT26065 (California).

The current practice location address for Richard Wayne Phillips is 720 Wood St, Eureka, CA and can be reached out via phone at 707-268-2990.

Location: 720 Wood St, Eureka, CA, 95503-6175
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891951141
Provider Name
Richard Wayne Phillips
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
720 Wood St, Eureka, CA, 95503-6175
Phone Number
707-268-2990
Fax Number
Provider Enumeration Date
08/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PT26065 01 CA BVNPTE
institution
Provider Business Practice Location Address Details
Address
720 Wood St
City
Eureka
State
California
Zip
95501-4413
Phone Number
707-268-2990
Fax Number
person
Provider Business Mailing Address Details
Address
720 Wood St
City
Eureka
State
California
Zip
95501-4413
Phone Number
707-268-2990
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT26065 (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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