Individual provider · Type 1 NPI

Fernando Carlos Dominguez Jr., LPT

Licensed Psychiatric Technician · Ventura, CA

NPI number 1700078607 Active

Practice location

300 Hillmot Ave
Ventura, CA 93003

Call (805) 652-6727 Map

Mailing address

300 Hillmont Ave
Ventura, CA 93003-1651

Specialties and licenses

Taxonomy	Code	License
Licensed Psychiatric Technician Primary	167G00000X	PT26056 (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 1700078607

Fernando Carlos Dominguez Jr., LPT's National Provider Identifier is 1700078607, issued on Aug 14, 2007. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Ventura, CA. The record was last updated on Aug 14, 2007.