NPI 1013566736

Matthew Allan Berry

Practitioner Licensed Psychiatric Technician Fontana, CA

Practice location

Address: 14677 Merrill Ave, Fontana, CA 92335
Phone: (951) 643-2335
Mailing address: 9800 Mesa Linda St APT 178, Hesperia, CA 92345-0105

Registered specialties

Licensed Psychiatric Technician Primary

Nursing Service Providers Taxonomy 167G00000X Licence 34542 (CA)

Other Licensed Psychiatric Technician providers in California →

Registry record

NPI: 1013566736
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Sep 2019
Record last updated: 5 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.