Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anita Rose Hagewood, LICENSEDPSYCHTECH

Individual provider Licensed Psychiatric Technician · NPI 1356820732

Anita Rose Hagewood, LICENSEDPSYCHTECH is a Licensed Psychiatric Technician in Fairfield, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
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Practice location Address checks out

2101 Courage Dr
Fairfield, CA 94533-6717
Phone: (707) 253-7015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Psychiatric Technician (primary) Taxonomy 167G00000X · Licence PT18280 (CA)

Record details

NPI number1356820732
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICENSEDPSYCHTECH
Sole proprietorNo
NPI enumeratedAugust 7, 2018
Last updated in NPPESAugust 7, 2018

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