Individual provider · Type 1 NPI

Martin Seth Rodriguez

Licensed Psychiatric Technician · San Bernardino, CA

NPI number 1558825331 Active

Practice location

1481 Windsor Dr
San Bernardino, CA 92404-5416

Call (909) 361-6470 Map

Mailing address

1729 S Conlon Ave
West Covina, CA 91790-4402

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XNone listed

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 1558825331

Martin Seth Rodriguez's National Provider Identifier is 1558825331, issued on Jan 25, 2019. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in San Bernardino, CA. The record was last updated on Jan 25, 2019.