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Manny Brice Kelly, LPT
Licensed Psychiatric Technician in San Bernardino, California
NPI 1003479320

Manny Brice Kelly is a Licensed Psychiatric Technician based in Rialto, CA. Manny Brice Kelly practices in San Bernardino, CA and has the professional credentials of LPT. The NPI Number for Manny Brice Kelly is 1003479320 and holds a License No. 33817 (California).

The current practice location address for Manny Brice Kelly is 1481 Windsor Dr, San Bernardino, CA and can be reached out via phone at 909-361-6472 and via fax at 909-203-7403.

Location: 1481 Windsor Dr, San Bernardino, CA, 92377-3425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003479320
Provider Name
Manny Brice Kelly
Credential
LPT
Provider Entity Type
Individual
Gender
Male
Address
1481 Windsor Dr, San Bernardino, CA, 92377-3425
Phone Number
909-361-6472
Fax Number
909-203-7403
Provider Enumeration Date
04/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1481 Windsor Dr
City
San Bernardino
State
California
Zip
92404-5416
Phone Number
909-361-6472
Fax Number
909-203-7403
person
Provider Business Mailing Address Details
Address
1481 Windsor Dr
City
San Bernardino
State
California
Zip
92404-5416
Phone Number
909-361-6472
Fax Number
909-203-7403
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
33817 (California)
Definition
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 disorders and developmental disabilities.
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