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Martha Vallejo Diaz, LPT
Licensed Psychiatric Technician in Garden Grove, California
NPI 1275982977

Martha Vallejo Diaz is a Licensed Psychiatric Technician based in Garden Grove, CA. Martha Vallejo Diaz practices in Garden Grove, CA and has the professional credentials of LPT. The NPI Number for Martha Vallejo Diaz is 1275982977 and holds a License No. 29462 (California).

The current practice location address for Martha Vallejo Diaz is 11277 Garden Grove Blvd Ste 100, Garden Grove, CA and can be reached out via phone at 714-620-8131.

Location: 11277 Garden Grove Blvd Ste 100, Garden Grove, CA, 92843-1300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275982977
Provider Name
Martha Vallejo Diaz
Credential
LPT
Provider Entity Type
Individual
Gender
Female
Address
11277 Garden Grove Blvd Ste 100, Garden Grove, CA, 92843-1300
Phone Number
714-620-8131
Fax Number
Provider Enumeration Date
06/03/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11277 Garden Grove Blvd Ste 100
City
Garden Grove
State
California
Zip
92843-1300
Phone Number
714-620-8131
Fax Number
person
Provider Business Mailing Address Details
Address
11277 Garden Grove Blvd Ste 100
City
Garden Grove
State
California
Zip
92843-1300
Phone Number
714-620-8131
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
29462 (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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