Individual provider · Type 1 NPI

Matthew Allan Berry

Licensed Psychiatric Technician · Fontana, CA

NPI number 1013566736 Active

Practice location

14677 Merrill Ave
Fontana, CA 92335

Call (951) 643-2335 Map

Mailing address

9800 Mesa Linda St Apt 178
Hesperia, CA 92345-0105

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X34542 (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 1013566736

Matthew Allan Berry's National Provider Identifier is 1013566736, issued on Sep 5, 2019. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Fontana, CA. The record was last updated on Sep 5, 2019.