Individual provider · Type 1 NPI

Tareq Nabulsi, LPT

Licensed Psychiatric Technician · Santa Fe Springs, CA

NPI number 1306192679 Active

Practice location

11741 Telegraph Rd
Santa Fe Springs, CA 90670-3681

Fax (562) 949-3642

Mailing address

849 Kellogg Ave
Janesville, WI 53546-2808

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000X4087 (WI)
Licensed Psychiatric Technician Primary 167G00000XPT40247 (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 1306192679

Tareq Nabulsi, LPT's National Provider Identifier is 1306192679, issued on Jul 24, 2012. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Santa Fe Springs, CA. The record was last updated on Nov 14, 2017.