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Mr. Peter Lopez, PT
Licensed Psychiatric Technician in Glendora, California
NPI 1013058650

Peter Lopez is a Licensed Psychiatric Technician based in Covina, CA. Peter Lopez practices in Glendora, CA and has the professional credentials of PT. The NPI Number for Peter Lopez is 1013058650 and holds a License No. PT26343 (California).

The current practice location address for Peter Lopez is 1160 S Grand Ave, Glendora, CA and can be reached out via phone at 626-335-5980 and via fax at 626-857-7275.

Location: 1160 S Grand Ave, Glendora, CA, 91723-2615
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013058650
Provider Name
Peter Lopez
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
1160 S Grand Ave, Glendora, CA, 91723-2615
Phone Number
626-335-5980
Fax Number
626-857-7275
Provider Enumeration Date
02/08/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1160 S Grand Ave
City
Glendora
State
California
Zip
91740-5000
Phone Number
626-335-5980
Fax Number
626-857-7275
person
Provider Business Mailing Address Details
Address
1160 S Grand Ave
City
Glendora
State
California
Zip
91740-5000
Phone Number
626-335-5980
Fax Number
626-857-7275
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT26343 (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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