Individual provider · Type 1 NPI

Gloria Graham

Licensed Psychiatric Technician · Lemon Grove, CA

NPI number 1376704866 Active

Practice location

7922 Palm St
Lemon Grove, CA 91945-2956

Call (619) 464-3488 Map

Mailing address

4355 46th St, #16
San Diego, CA 92115-4349

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X25587 (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 1376704866

Gloria Graham's National Provider Identifier is 1376704866, issued on Jun 18, 2008. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Lemon Grove, CA. The record was last updated on Jun 18, 2008.