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Glen Martin Lopez, LPT
Licensed Psychiatric Technician in Glendora, California
NPI 1942567946

Glen Martin Lopez is a Licensed Psychiatric Technician based in West Covina, CA. Glen Martin Lopez practices in Glendora, CA and has the professional credentials of LPT. The NPI Number for Glen Martin Lopez is 1942567946 and holds a License No. PT 36343 (California).

The current practice location address for Glen Martin Lopez is 1160 S Grand Ave, Glendora, CA and can be reached out via phone at 626-335-5980.

Location: 1160 S Grand Ave, Glendora, CA, 91790-5510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942567946
Provider Name
Glen Martin Lopez
Credential
LPT
Provider Entity Type
Individual
Gender
Male
Address
1160 S Grand Ave, Glendora, CA, 91790-5510
Phone Number
626-335-5980
Fax Number
Provider Enumeration Date
04/13/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1160 S Grand Ave
City
Glendora
State
California
Zip
91740-5000
Phone Number
626-335-5980
Fax Number
person
Provider Business Mailing Address Details
Address
1160 S Grand Ave
City
Glendora
State
California
Zip
91740-5000
Phone Number
626-335-5980
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT 36343 (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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