Individual provider · Type 1 NPI

Makayla Grimmer

Licensed Psychiatric Technician · Hesperia, CA

NPI number 1700537925 Active

Practice location

11776 Mariposa Rd # 103
Hesperia, CA 92345-1622

Call (760) 956-2462 Map

Mailing address

7428 Nielson Rd
Phelan, CA 92371-6854

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X40565 (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 1700537925

Makayla Grimmer's National Provider Identifier is 1700537925, issued on Jan 11, 2022. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Hesperia, CA. The record was last updated on Jan 27, 2022.