Individual
TRISHA TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2180 VALLEY BLVD, POMONA, CA 91768-3325
(909) 865-2336
(909) 865-1831
Mailing address
2180 VALLEY BLVD, POMONA, CA 91768-3325
(909) 865-2336
(909) 865-1831
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT 29006
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7565A
OUTPATIENT MENTAL HEALTH
CA
Enumeration date
06/19/2012
Last updated
03/17/2018
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