FREDDIE BUNCH LPT
NPI 1184961351
Licensed Psychiatric Technician in San Diego, CA

Q: What is Freddie Bunch's NPI number?

The NPI number for Freddie Bunch is 1184961351. It was assigned to this individual provider in the NPPES registry on January 8, 2013.

Q: What is Freddie Bunch's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

Q: When was this NPI record last updated?

The NPPES record for Freddie Bunch was last updated on July 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 08, 2013

734 10TH AVE, SAN DIEGO, CA 92101(619) 239-4663(619) 239-3045 Get Directions Write a Review

NPPES record last updated: July 1, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Freddie Bunch Lpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREDDIE BUNCH LPT (NPI 1184961351) is an individual licensed psychiatric technician in San Diego, California, licensed in California (26495) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1184961351

Entity TypeIndividualMale

Primary Taxonomy167G00000X

Provider Legal NameFREDDIE BUNCHCredential: LPT

Location Address734 10TH AVESan Diego, CA 92101-6502

Mailing Address734 10th AveSan Diego, CA 92101-6502 · (619) 239-4663 · Fax (619) 239-3045

Phone(619) 239-4663

Fax(619) 239-3045

Sole ProprietorNo

Enumeration DateJanuary 8, 2013

Last NPPES UpdateJuly 1, 2015

✔ NPI 1184961351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers

Taxonomy Code167G00000X

License✔ Licensed in CA · 26495

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.

734 10TH AVE, San Diego, CA 92101

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALISSA ANN MAITINO M.A.

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