Search › California › Licensed Psychiatric Technician
Tyda Viveros
NPI 1063946002 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1111 N El Dorado St
Stockton, CA 95202 - Phone
- (209) 938-0228
- Fax
- (209) 938-0281
- Organisation at this address
- Medmark Treatment Centers - Stockton, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 45
Registry record
- Primary taxonomy
- Licensed Psychiatric Technician
167G00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-04-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California