Individual provider · Type 1 NPI

Victoria Lynn Broussard, LPT

Licensed Psychiatric Technician · Baldwin Park, CA

NPI number 1770624090 Active

Practice location

4600 Bresee Ave
Baldwin Park, CA 91706-2414

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X19904 (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 1770624090

Victoria Lynn Broussard, LPT's National Provider Identifier is 1770624090, issued on Feb 9, 2007. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Baldwin Park, CA. The record was last updated on Jul 8, 2007.