Individual provider · Type 1 NPI

Martha Alicia Diaz

Licensed Psychiatric Technician · Eastvale, CA

NPI number 1073135703 Active

Practice location

16756 Chino Corona Rd
Eastvale, CA 92880-9508

Call (909) 597-1771 Map

Mailing address

23959 Cougas Creek Rd
Diamond Bar, CA 91765-1104

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XNone listed

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 1073135703

Martha Alicia Diaz's National Provider Identifier is 1073135703, issued on May 15, 2020. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Eastvale, CA. The record was last updated on May 15, 2020.