Individual provider · Type 1 NPI

Clarisa Andrea Lissa, LPT25897

Licensed Psychiatric Technician · San Dimas, CA

NPI number 1871738534 Active

Practice location

762 Cypress St
San Dimas, CA 91773

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPT25897 (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 1871738534

Clarisa Andrea Lissa, LPT25897's National Provider Identifier is 1871738534, issued on Dec 10, 2008. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in San Dimas, CA. The record was last updated on Aug 23, 2018.