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Marissa Stormy De La Riva, LPT
Licensed Psychiatric Technician in Pasadena, California
NPI 1548945470

Marissa Stormy De La Riva is a Licensed Psychiatric Technician based in Pasadena, CA. Marissa Stormy De La Riva practices in Pasadena, CA and has the professional credentials of LPT. The NPI Number for Marissa Stormy De La Riva is 1548945470 and holds a License No. 42553 (California).

The current practice location address for Marissa Stormy De La Riva is 100 W Walnut St, Pasadena, CA and can be reached out via phone at 626-395-7100.

Location: 100 W Walnut St, Pasadena, CA, 91124-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548945470
Provider Name
Marissa Stormy De La Riva
Credential
LPT
Provider Entity Type
Individual
Gender
Female
Address
100 W Walnut St, Pasadena, CA, 91124-0001
Phone Number
626-395-7100
Fax Number
Provider Enumeration Date
06/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 W Walnut St
City
Pasadena
State
California
Zip
91124-0001
Phone Number
626-395-7100
Fax Number
person
Provider Business Mailing Address Details
Address
100 W Walnut St
City
Pasadena
State
California
Zip
91124-0001
Phone Number
626-395-7100
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
42553 ()
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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