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Russelle Chung
Licensed Psychiatric Technician in Rialto, California
NPI 1982025904

Russelle Chung is a Licensed Psychiatric Technician based in Rialto, CA. Russelle Chung practices in Rialto, CA. The NPI Number for Russelle Chung is 1982025904 and holds a License No. PT33524 (California).

The current practice location address for Russelle Chung is 850 E Foothill Blvd, Rialto, CA and can be reached out via phone at 909-421-9470 and via fax at 909-873-4461.

Location: 850 E Foothill Blvd, Rialto, CA, 92376-5230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982025904
Provider Name
Russelle Chung
Credential
Provider Entity Type
Individual
Gender
Female
Address
850 E Foothill Blvd, Rialto, CA, 92376-5230
Phone Number
909-421-9470
Fax Number
909-873-4461
Provider Enumeration Date
12/17/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
850 E Foothill Blvd
City
Rialto
State
California
Zip
92376-5230
Phone Number
909-421-9470
Fax Number
909-873-4461
person
Provider Business Mailing Address Details
Address
850 E Foothill Blvd
City
Rialto
State
California
Zip
92376-5230
Phone Number
909-421-9470
Fax Number
909-873-4461
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT33524 (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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