Individual provider · Type 1 NPI

Nicole Denise Lopez

Licensed Psychiatric Technician · Pomona, CA

NPI number 1386897510 Active

Practice location

790 E Bonita Ave
Pomona, CA 91767-1906

Call (909) 625-7207 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPT34290 (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 1386897510

Nicole Denise Lopez's National Provider Identifier is 1386897510, issued on Oct 31, 2008. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Pomona, CA. The record was last updated on Oct 31, 2008.