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NPI Profile for SOVANNARY BOU in STOCKTON, CA.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Licensed Psychiatric Technician |
167G00000X |
| NPI Number | 1417223504 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/22/2012 | |
| Last updated | 03/22/2012 - About 14 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SOVANNARY BOU
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SOVANNARY BOU