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Phyllis Agu, LPT
Licensed Psychiatric Technician in Los Angeles, California
NPI 1588174742

Phyllis Agu is a Licensed Psychiatric Technician based in Los Angeles, CA. Phyllis Agu practices in Los Angeles, CA and has the professional credentials of LPT. The NPI Number for Phyllis Agu is 1588174742 and holds a License No. 40071 (California).

The current practice location address for Phyllis Agu is 710 E 111Th Pl, Los Angeles, CA and can be reached out via phone at 323-233-0425 and via fax at 323-232-2366.

Location: 710 E 111Th Pl, Los Angeles, CA, 90011-5622
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588174742
Provider Name
Phyllis Agu
Credential
LPT
Provider Entity Type
Individual
Gender
Female
Address
710 E 111Th Pl, Los Angeles, CA, 90011-5622
Phone Number
323-233-0425
Fax Number
323-232-2366
Provider Enumeration Date
10/02/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
710 E 111Th Pl
City
Los Angeles
State
California
Zip
90059-1518
Phone Number
323-233-0425
Fax Number
323-232-2366
person
Provider Business Mailing Address Details
Address
710 E 111Th Pl
City
Los Angeles
State
California
Zip
90059-1518
Phone Number
323-233-0425
Fax Number
323-232-2366
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
40071 (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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