Individual provider · Type 1 NPI

Lisa Renae Calderilla

Licensed Psychiatric Technician · Santa Fe Springs, CA

NPI number 1376175802 Active

Practice location

11731 Telegraph Rd
Santa Fe Springs, CA 90670-3675

Call (562) 949-8455 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X41579 (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 1376175802

Lisa Renae Calderilla's National Provider Identifier is 1376175802, issued on Feb 12, 2020. 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 Feb 12, 2020.