Doctor Name: | MR. BRUCE CONRAD COOK |
NPI Number: | 1154681690 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPT |
License Number: | LP 19366 |
Business Practice Address: | 18217 Hale Ave Morgan Hill, CA - 950373550 |
Business Phone Number: | 4084658280 |
Business Fax Number: | 8316742012 |
Mailing Address: | 18217 Hale Ave, MORGAN HILL |
State: | CA |
Postal Code: | 950373550 |
Phone Number: | 4084658280 |
Fax Number: | 8316742012 |
NPI Enumeration Date: | 05/17/2012 |
NPI Last Update Date: | 05/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 167G00000X |
License Number: | LP 19366 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Psychiatric Technician |
Taxonomy Specialization: | |
Taxonomy 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. |