Individual provider · Type 1 NPI

Larry Speck

Licensed Psychiatric Technician · Fresno, CA

NPI number 1962672717 Active

Practice location

1225 M St, Jail Medical Services, 2nd Floor
Fresno, CA 93721-1805

Fax (559) 442-5277

Specialties and licenses

Taxonomy	Code	License
Licensed Psychiatric Technician Primary	167G00000X	21268 (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 1962672717

Larry Speck's National Provider Identifier is 1962672717, issued on Mar 7, 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 May 18, 2009.