Jeremy Scott Bard, LPT
Licensed Psychiatric Technician in Los Angeles, CA. Individual provider (NPI-1).
NPI number1083046395
StatusActive
Last updated in NPPESAug 1, 2025
Details
- NPI
- 1083046395
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jeremy Scott Bard
- Credential
- LPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2013
- Certification date
- Aug 1, 2025
- Last updated
- Aug 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 167G00000X | Licensed Psychiatric Technician | PT36324 | CA | Yes |
Practice location
840 N Avenue 66Los Angeles, CA 90042-1508
Phone 263-957-1006
Mailing address
840 N Avenue 66Los Angeles, CA 90042-1508
Phone 626-395-7100
Other practice locations
835 Highland Springs Ave
Beaumont, CA 92223-5770
Beaumont, CA 92223-5770
Phone 626-395-7100
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