Susana Oliva Mena, LPT
Licensed Psychiatric Technician in Pico Rivera, CA. Individual provider (NPI-1).
NPI number1982126579
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1982126579
- Entity type
- Individual (NPI-1)
- Name
- Susana Oliva Mena
- Credential
- LPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 167G00000X | Licensed Psychiatric Technician | 40387 | CA | Yes |
Practice location
5200 San Gabriel Pl Ste CPico Rivera, CA 90660-2498
Phone 562-222-1331 · Fax 562-222-1322
Mailing address
5200 San Gabriel Pl Ste CPico Rivera, CA 90660-2498
Phone 562-222-1331 · Fax 562-222-1322
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All 10 Licensed Psychiatric Technician providers in Pico Rivera · All 658 providers in Pico Rivera
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