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Ezra Robert Nordin Dureault, LPT
Licensed Psychiatric Technician in Monrovia, California
NPI 1932730454

Ezra Robert Nordin Dureault is a Licensed Psychiatric Technician based in Pomona, CA. Ezra Robert Nordin Dureault practices in Monrovia, CA and has the professional credentials of LPT. The NPI Number for Ezra Robert Nordin Dureault is 1932730454 and holds a License No. PT41197 (California).

The current practice location address for Ezra Robert Nordin Dureault is 902 S Myrtle Ave, Monrovia, CA and can be reached out via phone at 626-357-3258.

Location: 902 S Myrtle Ave, Monrovia, CA, 91767-4604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932730454
Provider Name
Ezra Robert Nordin Dureault
Credential
LPT
Provider Entity Type
Individual
Gender
Male
Address
902 S Myrtle Ave, Monrovia, CA, 91767-4604
Phone Number
626-357-3258
Fax Number
Provider Enumeration Date
02/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
902 S Myrtle Ave
City
Monrovia
State
California
Zip
91016-3427
Phone Number
626-357-3258
Fax Number
person
Provider Business Mailing Address Details
Address
902 S Myrtle Ave
City
Monrovia
State
California
Zip
91016-3427
Phone Number
626-357-3258
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT41197 (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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