Individual provider · Type 1 NPI

Damian Darryl Moore, LPT

Licensed Psychiatric Technician · San Bernardino, CA

NPI number 1992442552 Active

Practice location

1481 Windsor Dr
San Bernardino, CA 92404-5416

Call (909) 361-6470 Map

Mailing address

5604 N E St
San Bernardino, CA 92407-2626

Specialties and licenses

Taxonomy	Code	License
Licensed Psychiatric Technician Primary	167G00000X	42031 (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 1992442552

Damian Darryl Moore, LPT's National Provider Identifier is 1992442552, issued on May 16, 2022. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in San Bernardino, CA. The record was last updated on May 16, 2022.