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Ms. Victoria Lynn Broussard, LPT
Licensed Psychiatric Technician in Baldwin Park, California
NPI 1770624090

Victoria Lynn Broussard is a Licensed Psychiatric Technician based in Baldwin Park, CA. Victoria Lynn Broussard practices in Baldwin Park, CA and has the professional credentials of LPT. The NPI Number for Victoria Lynn Broussard is 1770624090 and holds a License No. 19904 (California).

The current practice location address for Victoria Lynn Broussard is 4600 Bresee Ave, Baldwin Park, CA and can be reached out via phone at 626-337-0747.

Location: 4600 Bresee Ave, Baldwin Park, CA, 91706-2414
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770624090
Provider Name
Victoria Lynn Broussard
Credential
LPT
Provider Entity Type
Individual
Gender
Female
Address
4600 Bresee Ave, Baldwin Park, CA, 91706-2414
Phone Number
626-337-0747
Fax Number
Provider Enumeration Date
02/09/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4600 Bresee Ave
City
Baldwin Park
State
California
Zip
91706-2414
Phone Number
626-337-0747
Fax Number
person
Provider Business Mailing Address Details
Address
4600 Bresee Ave
City
Baldwin Park
State
California
Zip
91706-2414
Phone Number
626-337-0747
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
19904 (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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