What is Wahida Poncelet's NPI number?

The NPI number assigned to this healthcare provider is 1396135901, enumerated as a individual on February 3, 2015.

Where is the provider located?

The provider is located at 2178 JOHNSON AVE SAN LUIS OBISPO, CA 93401 and the phone number is (805) 781-4700.

What is the provider's specialty?

The provider's specialty is Licensed Psychiatric Technician with taxonomy code 167G00000X.

WAHIDA PONCELET PT - NPI 1396135901 - Licensed Psychiatric Technician in San Luis Obispo, CA

On this page

About Wahida Poncelet Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAHIDA PONCELET PT (NPI 1396135901) is an individual licensed psychiatric technician in San Luis Obispo, California, licensed in California (31669) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1396135901

Entity TypeIndividualFemale

Primary Taxonomy167G00000X

Provider Legal NameWAHIDA PONCELETCredential: PT

Location Address2178 JOHNSON AVESan Luis Obispo, CA 93401-4535

Mailing Address2178 Johnson AveSan Luis Obispo, CA 93401-4535 · (805) 781-4700

Phone(805) 781-4700

Sole ProprietorNo

Enumeration DateFebruary 3, 2015

✔ NPI 1396135901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers

Taxonomy Code167G00000X

License✔ Licensed in CA · 31669

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.

2178 JOHNSON AVE, San Luis Obispo, CA 93401

Open in Google Maps ↗