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

Mary Theresa Rose

Individual provider Licensed Psychiatric Technician · NPI 1659940104

Mary Theresa Rose is a Licensed Psychiatric Technician in Yuba City, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

1965 Live Oak Blvd
Yuba City, CA 95991-8850
Phone: (530) 822-7209
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Psychiatric Technician (primary) Taxonomy 167G00000X · Licence 34407 (CA)
Licensed Psychiatric Technician Taxonomy 167G00000X

Record details

NPI number1659940104
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 20, 2021
Last updated in NPPESJune 20, 2021
Certification dateJune 20, 2021

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