Individual provider · Type 1 NPI

Samual T. Pollock, LPT

Licensed Psychiatric Technician · Anaheim, CA

NPI number 1679669667 Active

Practice location

2569 W Woodland Dr
Anaheim, CA 92801-2608

Mailing address

2013 Charle St Apt F
Costa Mesa, CA 92627-5508

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XLPT 29433 (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 1679669667

Samual T. Pollock, LPT's National Provider Identifier is 1679669667, issued on Oct 5, 2006. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Anaheim, CA. The record was last updated on Jul 8, 2007.