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Clarisa Andrea Lissa, LPT25897
Licensed Psychiatric Technician in San Dimas, California
NPI 1871738534

Clarisa Andrea Lissa is a Licensed Psychiatric Technician based in San Dimas, CA. Clarisa Andrea Lissa practices in San Dimas, CA and has the professional credentials of LPT25897. The NPI Number for Clarisa Andrea Lissa is 1871738534 and holds a License No. PT25897 (California).

The current practice location address for Clarisa Andrea Lissa is 762 Cypress St, San Dimas, CA and can be reached out via phone at 909-599-1227.

Location: 762 Cypress St, San Dimas, CA, 91773-3505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871738534
Provider Name
Clarisa Andrea Lissa
Credential
LPT25897
Provider Entity Type
Individual
Gender
Female
Address
762 Cypress St, San Dimas, CA, 91773-3505
Phone Number
909-599-1227
Fax Number
Provider Enumeration Date
12/10/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
762 Cypress St
City
San Dimas
State
California
Zip
91773
Phone Number
909-599-1227
Fax Number
person
Provider Business Mailing Address Details
Address
762 Cypress St
City
San Dimas
State
California
Zip
91773
Phone Number
909-599-1227
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT25897 (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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