Dianne Bartolo
Licensed Psychiatric Technician in Orange, CA. Individual provider (NPI-1).
NPI number1356912109
StatusActive
Last updated in NPPESJul 2, 2021
Details
- NPI
- 1356912109
- Entity type
- Individual (NPI-1)
- Name
- Dianne Bartolo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 2, 2021
- Certification date
- Jul 2, 2021
- Last updated
- Jul 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 167G00000X | Licensed Psychiatric Technician | 41775 | CA | Yes |
Practice location
401 S Tustin St Bldg DOrange, CA 92866-2550
Phone 714-289-3936
Mailing address
401 S Tustin St Bldg DOrange, CA 92866-2550
Phone 714-289-3936
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