Individual provider · Type 1 NPI

Jennifer Fay Mosson

Licensed Psychiatric Technician · La Verne, CA

NPI number 1235492612 Active

Practice location

233 Baseline Rd
La Verne, CA 91750-2353

Fax (909) 596-3567

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPT34218 (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 1235492612

Jennifer Fay Mosson's National Provider Identifier is 1235492612, issued on Jun 20, 2012. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in La Verne, CA. The record was last updated on Jun 20, 2012.