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Tyler Dustin Diaz, LPT
Licensed Psychiatric Technician in Fresno, California
NPI 1164887857

Tyler Dustin Diaz is a Licensed Psychiatric Technician based in Fresno, CA. Tyler Dustin Diaz practices in Fresno, CA and has the professional credentials of LPT. The NPI Number for Tyler Dustin Diaz is 1164887857 and holds a License No. 37792 (California).

The current practice location address for Tyler Dustin Diaz is 4441 E Kings Canyon Rd, Fresno, CA and can be reached out via phone at 550-600-9180.

Location: 4441 E Kings Canyon Rd, Fresno, CA, 93702-3604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164887857
Provider Name
Tyler Dustin Diaz
Credential
LPT
Provider Entity Type
Individual
Gender
Male
Address
4441 E Kings Canyon Rd, Fresno, CA, 93702-3604
Phone Number
550-600-9180
Fax Number
Provider Enumeration Date
12/22/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4441 E Kings Canyon Rd
City
Fresno
State
California
Zip
93702-3604
Phone Number
550-600-9180
Fax Number
person
Provider Business Mailing Address Details
Address
4441 E Kings Canyon Rd
City
Fresno
State
California
Zip
93702-3604
Phone Number
550-600-9180
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
37792 (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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