Individual provider · Type 1 NPI

Bryan Gomez, XXX34392

Licensed Psychiatric Technician · Glendora, CA

NPI number 1508017617 Active

Practice location

1172 South Grand Ave
Glendora, CA 91740

Call (626) 335-5980 Map

Mailing address

4122 Lincoln Ave.
El Monte, CA 91731-2108

Specialties and licenses

Taxonomy	Code	License
Licensed Psychiatric Technician Primary	167G00000X	34392 (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 1508017617

Bryan Gomez, XXX34392's National Provider Identifier is 1508017617, issued on Oct 7, 2008. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Glendora, CA. The record was last updated on Oct 7, 2008.