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Cassandra Rene'e Smullen
Licensed Psychiatric Technician in Stockton, California
NPI 1972150274

Cassandra Rene'e Smullen is a Licensed Psychiatric Technician based in Stockton, CA. Cassandra Rene'e Smullen practices in Stockton, CA. The NPI Number for Cassandra Rene'e Smullen is 1972150274 and holds a License No. 37323 (California).

The current practice location address for Cassandra Rene'e Smullen is 1803 W March Ln, Stockton, CA and can be reached out via phone at 209-636-5353.

Location: 1803 W March Ln, Stockton, CA, 95207-6414
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972150274
Provider Name
Cassandra Rene'e Smullen
Credential
Provider Entity Type
Individual
Gender
Female
Address
1803 W March Ln, Stockton, CA, 95207-6414
Phone Number
209-636-5353
Fax Number
Provider Enumeration Date
08/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1803 W March Ln
City
Stockton
State
California
Zip
95207-6414
Phone Number
209-636-5353
Fax Number
person
Provider Business Mailing Address Details
Address
1803 W March Ln
City
Stockton
State
California
Zip
95207-6414
Phone Number
209-636-5353
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
37323 (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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