Individual provider · Type 1 NPI

Ralph William Gibbons, LPT 111

Licensed Psychiatric Technician · Norwalk, CA

NPI number 1215014840 Active

Practice location

12440 Imperial Hwy, Suite 116
Norwalk, CA 90650-3177

Call (800) 854-7771 Map

Fax (562) 868-3749

Mailing address

12440 E. Imperial Hwy., Suite 116
Norwalk, CA 90650-3177

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPT 19568 (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 1215014840

Ralph William Gibbons, LPT 111's National Provider Identifier is 1215014840, issued on Nov 1, 2006. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Norwalk, CA. The record was last updated on Jul 8, 2007.