Individual provider · Type 1 NPI

Leslie Melara

Licensed Psychiatric Technician · San Bernardino, CA

NPI number 1205144706 Active

Practice location

2080 S E St Fl 1
San Bernardino, CA 92408-2773

Fax (909) 388-9195

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X34207 (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 1205144706

Leslie Melara's National Provider Identifier is 1205144706, issued on Sep 17, 2010. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in San Bernardino, CA. The record was last updated on Dec 12, 2012.