MR. ANTHONY DESANTO-KELLY, LICENSE PYSCH TECH 3

Licensed Psychiatric Technician

Active Individual
NPI: 1417047069

Practice Address

3501 N LAKEWOOD BLVD
Long Beach, CA 90808

Phone: (562) 570-7119

Specialties

Specialty Code Primary License
Licensed Psychiatric Technician 167G00000X Yes PT24452 (CA)

Frequently Asked Questions

NPI 1417047069 is the National Provider Identifier for MR. ANTHONY DESANTO-KELLY, LICENSE PYSCH TECH 3, a Licensed Psychiatric Technician provider located in Long Beach, CA. This NPI was enumerated on October 13, 2006.
MR. ANTHONY DESANTO-KELLY, LICENSE PYSCH TECH 3 practices at 3501 N LAKEWOOD BLVD, Long Beach, CA 90808.

Quick Facts

NPI
1417047069
Type
Individual
Enumerated
Oct 13, 2006
Last Updated
Jul 8, 2007

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