Individual provider · Type 1 NPI

Dominique King

Licensed Psychiatric Technician · Pomona, CA

NPI number 1689064065 Active

Practice location

2008 Garey Ave
Pomona, CA 91766

Fax (909) 865-9281

Specialties and licenses

Taxonomy	Code	License
Licensed Psychiatric Technician Primary	167G00000X	37062 (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 1689064065

Dominique King's National Provider Identifier is 1689064065, issued on Jan 23, 2015. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Pomona, CA. The record was last updated on Aug 24, 2023.