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Tareq Nabulsi, LPT
Licensed Psychiatric Technician in Santa Fe Springs, California
NPI 1306192679

Tareq Nabulsi is a Licensed Psychiatric Technician based in Janesville, CA. Tareq Nabulsi practices in Santa Fe Springs, CA and has the professional credentials of LPT. The NPI Number for Tareq Nabulsi is 1306192679 and holds a License No. 4087 (California).

The current practice location address for Tareq Nabulsi is 11741 Telegraph Rd, Santa Fe Springs, CA and can be reached out via phone at 562-801-0318 and via fax at 562-949-3642.

Location: 11741 Telegraph Rd, Santa Fe Springs, CA, 53546-2808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306192679
Provider Name
Tareq Nabulsi
Credential
LPT
Provider Entity Type
Individual
Gender
Male
Address
11741 Telegraph Rd, Santa Fe Springs, CA, 53546-2808
Phone Number
562-801-0318
Fax Number
562-949-3642
Provider Enumeration Date
07/24/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PT40247 01 CA LICENSED PSYCHIATRIC TECHNICIAN
institution
Provider Business Practice Location Address Details
Address
11741 Telegraph Rd
City
Santa Fe Springs
State
California
Zip
90670-3681
Phone Number
562-801-0318
Fax Number
562-949-3642
person
Provider Business Mailing Address Details
Address
11741 Telegraph Rd
City
Santa Fe Springs
State
California
Zip
90670-3681
Phone Number
562-801-0318
Fax Number
562-949-3642
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT40247 (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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
4087 (Wisconsin)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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