Individual provider · Type 1 NPI

Loretta Bruinsma, LPT

Licensed Psychiatric Technician · Azusa, CA

NPI number 1255719142 Active

Practice location

23701 E East Fork Rd
Azusa, CA 91702-1477

Specialties and licenses

Taxonomy	Code	License
Licensed Psychiatric Technician Primary	167G00000X	PT25048 (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 1255719142

Loretta Bruinsma, LPT's National Provider Identifier is 1255719142, issued on May 11, 2015. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Azusa, CA. The record was last updated on May 17, 2015.