Individual provider · Type 1 NPI
Gary R. Hernandez, LPT
Licensed Psychiatric Technician · Fontana, CA
Practice location
14677 Merrill Av.
Fontana, CA 92335
Mailing address
2020 Iowa Ave, Ste 101
Riverside, CA 92507-0520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Psychiatric Technician Primary | 167G00000X | PT36206 (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 1720354426
Gary R. Hernandez, LPT's National Provider Identifier is 1720354426, issued on Mar 27, 2012. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Fontana, CA. The record was last updated on Feb 14, 2019.