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Gloria Graham
Licensed Psychiatric Technician in Lemon Grove, California
NPI 1376704866

Gloria Graham is a Licensed Psychiatric Technician based in San Diego, CA. Gloria Graham practices in Lemon Grove, CA. The NPI Number for Gloria Graham is 1376704866 and holds a License No. 25587 (California).

The current practice location address for Gloria Graham is 7922 Palm St, Lemon Grove, CA and can be reached out via phone at 619-464-3488.

Location: 7922 Palm St, Lemon Grove, CA, 92115-4349
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376704866
Provider Name
Gloria Graham
Credential
Provider Entity Type
Individual
Gender
Female
Address
7922 Palm St, Lemon Grove, CA, 92115-4349
Phone Number
619-464-3488
Fax Number
Provider Enumeration Date
06/18/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7922 Palm St
City
Lemon Grove
State
California
Zip
91945-2956
Phone Number
619-464-3488
Fax Number
person
Provider Business Mailing Address Details
Address
7922 Palm St
City
Lemon Grove
State
California
Zip
91945-2956
Phone Number
619-464-3488
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
25587 (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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