Individual provider · Type 1 NPI

Peter Lopez, P.T.

Licensed Psychiatric Technician · Glendora, CA

NPI number 1013058650 Active

Practice location

1160 S Grand Ave
Glendora, CA 91740-5000

Fax (626) 857-7275

Mailing address

336 E Puente St
Covina, CA 91723-2615

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPT26343 (CA)

Licensed Psychiatric Technician: 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 dis…

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About NPI 1013058650

Peter Lopez, P.T.'s National Provider Identifier is 1013058650, issued on Feb 8, 2007. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Glendora, CA. The record was last updated on Jul 8, 2007.