Individual provider · Type 1 NPI
Tiffany Rose Nicole Martinez, LPT
Licensed Psychiatric Technician · Fresno, CA
Practice location
3707 E Shields Ave
Fresno, CA 93726-7029
Fax (559) 229-9060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | PT 34123 (CA) |
| Licensed Psychiatric Technician Primary | 167G00000X | 34123 (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 1821242744
Tiffany Rose Nicole Martinez, LPT's National Provider Identifier is 1821242744, issued on Nov 5, 2008. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Fresno, CA. The record was last updated on Jan 11, 2021.