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Tiffany Rose Nicole Martinez, LPT
Licensed Psychiatric Technician in Fresno, California
NPI 1821242744

Tiffany Rose Nicole Martinez is a Licensed Psychiatric Technician based in Fresno, CA. Tiffany Rose Nicole Martinez practices in Fresno, CA and has the professional credentials of LPT. The NPI Number for Tiffany Rose Nicole Martinez is 1821242744 and holds a License No. PT 34123 (California).

The current practice location address for Tiffany Rose Nicole Martinez is 3707 E Shields Ave, Fresno, CA and can be reached out via phone at 559-229-9040 and via fax at 559-229-9060.

Location: 3707 E Shields Ave, Fresno, CA, 93726-7029
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821242744
Provider Name
Tiffany Rose Nicole Martinez
Credential
LPT
Provider Entity Type
Individual
Gender
Female
Address
3707 E Shields Ave, Fresno, CA, 93726-7029
Phone Number
559-229-9040
Fax Number
559-229-9060
Provider Enumeration Date
11/05/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3707 E Shields Ave
City
Fresno
State
California
Zip
93726-7029
Phone Number
559-229-9040
Fax Number
559-229-9060
person
Provider Business Mailing Address Details
Address
3707 E Shields Ave
City
Fresno
State
California
Zip
93726-7029
Phone Number
559-229-9040
Fax Number
559-229-9060
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
34123 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT 34123 (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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