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Davinesha Marie Sally
Licensed Psychiatric Technician in Pasadena, California
NPI 1962044206

Davinesha Marie Sally is a Licensed Psychiatric Technician based in Long Beach, CA. Davinesha Marie Sally practices in Pasadena, CA. The NPI Number for Davinesha Marie Sally is 1962044206 and holds a License No. 41383 (California).

The current practice location address for Davinesha Marie Sally is 100 W Walnut St Ste 375, Pasadena, CA and can be reached out via phone at 626-395-7100.

Location: 100 W Walnut St Ste 375, Pasadena, CA, 90813-1674
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962044206
Provider Name
Davinesha Marie Sally
Credential
Provider Entity Type
Individual
Gender
Female
Address
100 W Walnut St Ste 375, Pasadena, CA, 90813-1674
Phone Number
626-395-7100
Fax Number
Provider Enumeration Date
10/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 W Walnut St Ste 375
City
Pasadena
State
California
Zip
91124-1674
Phone Number
626-395-7100
Fax Number
person
Provider Business Mailing Address Details
Address
100 W Walnut St Ste 375
City
Pasadena
State
California
Zip
91124-1674
Phone Number
626-395-7100
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
41383 (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.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
41383 (California)
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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