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MARY LEONA FISHER 16/1964 NPI 1457797862


NPI Information

NPI: 1457797862
Provider Name: MARY LEONA FISHER, 16/1964
Classification: Licensed Psychiatric Technician - 167G00000X
Entity Type: Individual
Address:
151 KALMUS DR STE K3
COSTA MESA, CA
ZIP 92626
Phone: (714) 384-3870
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Mary Leona Fisher, 16/1964 is a licensed psychiatric technician in Costa Mesa, CA. The provider is 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. Mary Leona Fisher, 16/1964 NPI is 1457797862. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

151 KALMUS DR STE K3
COSTA MESA, CA
ZIP 92626-975
Phone: (714) 384-3870

The enumeration date for this NPI number is 5/13/2013 and was last updated on 5/13/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1167G00000XLicensed Psychiatric Technician23452CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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