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ELIZABETH ANNE DEGRAVIO
NPI 1497167530
Licensed Psychiatric Technician in Stockton, CA

Active since May 23, 2014
10904 LANDS END DR, STOCKTON, CA 95209(209) 986-5996 Get Directions Write a Review

NPPES record last updated: May 23, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Elizabeth Anne Degravio NPPES

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

ELIZABETH ANNE DEGRAVIO (NPI 1497167530) is an individual licensed psychiatric technician in Stockton, California, licensed in California (37500) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1497167530
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameELIZABETH ANNE DEGRAVIO
Location Address10904 LANDS END DRStockton, CA 95209-4289
Mailing Address10904 Lands End DrStockton, CA 95209-4289 · (209) 986-5996
Phone(209) 986-5996
Sole ProprietorYes
Enumeration DateMay 23, 2014
✔ NPI 1497167530 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 · 37500
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.
10904 LANDS END DR, Stockton, CA 95209
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Degravio's NPI number?

The NPI number for Elizabeth Degravio is 1497167530. It was assigned to this individual provider in the NPPES registry on May 23, 2014.

Where is Elizabeth Degravio located?

Elizabeth Degravio practices at 10904 Lands End Dr, Stockton, CA 95209. The listed phone number is (209) 986-5996.

What is Elizabeth Degravio's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Elizabeth Degravio was last updated on May 23, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.