Individual provider · Type 1 NPI

Theresa G. Ponce, LPT

Licensed Psychiatric Technician · El Centro, CA

NPI number 1437294279 Active

Practice location

202 N 8th St
El Centro, CA 92243-2302

Call (760) 482-4034 Map

Mailing address

545 Wensley Ave
El Centro, CA 92243-3954

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPT 26962 (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 1437294279

Theresa G. Ponce, LPT's National Provider Identifier is 1437294279, issued on Feb 20, 2007. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in El Centro, CA. The record was last updated on Jul 8, 2007.