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

Sovannary Bou

Individual provider Licensed Psychiatric Technician · NPI 1417223504

Sovannary Bou is a Licensed Psychiatric Technician in Stockton, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

1212 N California St
Stockton, CA 95202-1552
Phone: (209) 468-8750
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 PT 35993 (CA)

Record details

NPI number1417223504
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 22, 2012
Last updated in NPPESMarch 22, 2012
Mailing address1212 N California St, Stockton, CA 95202-1552

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