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MS. VICTORIA LYNN BROUSSARD LPT
NPI 1770624090
Licensed Psychiatric Technician in Baldwin Park, CA

Active since February 09, 2007
4600 BRESEE AVE, BALDWIN PARK, CA 91706(626) 337-0747 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Victoria Lynn Broussard Lpt NPPES

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

MS. VICTORIA LYNN BROUSSARD LPT (NPI 1770624090) is an individual licensed psychiatric technician in Baldwin Park, California, licensed in California (19904) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1770624090
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameMS. VICTORIA LYNN BROUSSARDCredential: LPT
Location Address4600 BRESEE AVEBaldwin Park, CA 91706-2414
Mailing Address4600 Bresee AveBaldwin Park, CA 91706-2414 · (626) 337-0747
Phone(626) 337-0747
Sole ProprietorYes
Enumeration DateFebruary 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1770624090 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 · 19904
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.
4600 BRESEE AVE, Baldwin Park, CA 91706
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victoria Broussard's NPI number?

The NPI number for Victoria Broussard is 1770624090. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Victoria Broussard located?

Victoria Broussard practices at 4600 Bresee Ave, Baldwin Park, CA 91706. The listed phone number is (626) 337-0747.

What is Victoria Broussard's specialty?

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

When was this NPI record last updated?

The NPPES record for Victoria Broussard was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.