Individual provider · Type 1 NPI

Melissa Marie Brock

Licensed Psychiatric Technician · Los Angeles, CA

NPI number 1679041636 Active

Practice location

679 S New Hampshire Ave
Los Angeles, CA 90005-1355

Call (626) 254-5000 Map

Mailing address

1931 Erin Ave
Upland, CA 91784-1545

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Licensed Psychiatric Technician Primary 167G00000X41003 (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 1679041636

Melissa Marie Brock's National Provider Identifier is 1679041636, issued on Nov 8, 2018. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 8, 2018.