Individual provider · Type 1 NPI

Roseller Rafol Luntayao, LPT

Licensed Psychiatric Technician · San Jose, CA

NPI number 1679615033 Active

Practice location

2001 The Alameda, Alliance For Community Care Service Team Adult Outpatie
San Jose, CA 95126-1136

Fax (408) 554-9960

Specialties and licenses

Taxonomy	Code	License
Licensed Psychiatric Technician Primary	167G00000X	PT28077 (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 1679615033

Roseller Rafol Luntayao, LPT's National Provider Identifier is 1679615033, issued on Feb 13, 2007. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in San Jose, CA. The record was last updated on Jul 8, 2007.