Individual
PATRICIA LYNN MAHANAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCHIATRIC TECH
Contact information
Practice address
6824 LOGUE LN, WACO, TX 76708-7241
(254) 327-2001
Mailing address
700 BUSTER CHATHAM RD STE 36, WACO, TX 76705-5473
(305) 250-8370
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT30309
CA
Other
Enumeration date
03/01/2022
Last updated
03/04/2025
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