Individual provider · Type 1 NPI
Jennifer Louise Ponder- Peters
Licensed Psychiatric Technician · Banning, CA
Practice location
1330 W. Ramsey, Ste 100
Banning, CA 92220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Psychiatric Technician Primary | 167G00000X | 33478 (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 1376780296
Jennifer Louise Ponder- Peters's National Provider Identifier is 1376780296, issued on Jan 14, 2009. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Banning, CA. The record was last updated on Jan 6, 2011.