Individual provider · Type 1 NPI

Kathleen Grunbaum Johnson

Licensed Psychiatric Technician · Monrovia, CA

NPI number 1801314158 Active

Practice location

902 S Myrtle Ave
Monrovia, CA 91016-1765

Call (626) 357-3258 Map

Fax (626) 303-0529

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPT32661 (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 1801314158

Kathleen Grunbaum Johnson's National Provider Identifier is 1801314158, issued on Sep 7, 2017. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Monrovia, CA. The record was last updated on Jul 21, 2022.