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Mr. Larry Speck
Licensed Psychiatric Technician in Fresno, California
NPI 1962672717

Larry Speck is a Licensed Psychiatric Technician based in Fresno, CA. Larry Speck practices in Fresno, CA. The NPI Number for Larry Speck is 1962672717 and holds a License No. 21268 (California).

The current practice location address for Larry Speck is 1225 M St, Fresno, CA and can be reached out via phone at 559-442-2404 and via fax at 559-442-5277.

Location: 1225 M St, Fresno, CA, 93721-1805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962672717
Provider Name
Larry Speck
Credential
Provider Entity Type
Individual
Gender
Male
Address
1225 M St, Fresno, CA, 93721-1805
Phone Number
559-442-2404
Fax Number
559-442-5277
Provider Enumeration Date
03/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1225 M St
City
Fresno
State
California
Zip
93721-1805
Phone Number
559-442-2404
Fax Number
559-442-5277
person
Provider Business Mailing Address Details
Address
1225 M St
City
Fresno
State
California
Zip
93721-1805
Phone Number
559-442-2404
Fax Number
559-442-5277
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
21268 (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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