location
search-icon
person
Tracy Jo Lopez
Licensed Psychiatric Technician in Azusa, California
NPI 1699901751

Tracy Jo Lopez is a Licensed Psychiatric Technician based in Azusa, CA. Tracy Jo Lopez practices in Azusa, CA. The NPI Number for Tracy Jo Lopez is 1699901751 and holds a License No. PT 34770 (California).

The current practice location address for Tracy Jo Lopez is 23701 E East Fork Rd, Azusa, CA and can be reached out via phone at 626-910-1202.

Location: 23701 E East Fork Rd, Azusa, CA, 91702-1477
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699901751
Provider Name
Tracy Jo Lopez
Credential
Provider Entity Type
Individual
Gender
Female
Address
23701 E East Fork Rd, Azusa, CA, 91702-1477
Phone Number
626-910-1202
Fax Number
Provider Enumeration Date
06/03/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
23701 E East Fork Rd
City
Azusa
State
California
Zip
91702-1477
Phone Number
626-910-1202
Fax Number
person
Provider Business Mailing Address Details
Address
23701 E East Fork Rd
City
Azusa
State
California
Zip
91702-1477
Phone Number
626-910-1202
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT 34770 (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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.