Paige Donovan
Licensed Psychiatric Technician in Fairfield, CA. Individual provider (NPI-1).
NPI number1962997486
StatusActive
Last updated in NPPESJun 2, 2024
Details
- NPI
- 1962997486
- Entity type
- Individual (NPI-1)
- Name
- Paige Donovan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2018
- Certification date
- Jun 2, 2024
- Last updated
- Jun 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 167G00000X | Licensed Psychiatric Technician | PT40379 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2101 Courage DrFairfield, CA 94533-6717
Phone 707-428-1131
Mailing address
2101 Courage DrFairfield, CA 94533-6717
Other practice locations
2570 48th St
Sacramento, CA 95817-1541
Sacramento, CA 95817-1541
Phone 916-734-2145
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