Individual provider · Type 1 NPI

Joanne Mata, LPT

Licensed Psychiatric Technician · Fresno, CA

NPI number 1649690991 Active

Practice location

4411 E Kings Canyon Rd
Fresno, CA 93702-3604

Call (559) 600-7180 Map

Mailing address

8688 N Cedar Ave Apt 102
Fresno, CA 93720-4826

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPT35103 (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 1649690991

Joanne Mata, LPT's National Provider Identifier is 1649690991, issued on Apr 24, 2014. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Fresno, CA. The record was last updated on Apr 24, 2014.