Individual provider · Type 1 NPI

Russelle Chung

Licensed Psychiatric Technician · Rialto, CA

NPI number 1982025904 Active

Practice location

850 E Foothill Blvd
Rialto, CA 92376-5230

Call (909) 421-9470 Map

Fax (909) 873-4461

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPT33524 (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 1982025904

Russelle Chung's National Provider Identifier is 1982025904, issued on Dec 17, 2013. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Rialto, CA. The record was last updated on Dec 17, 2013.