Individual provider · Type 1 NPI

Cheryl Latarsha Sturdivant

Licensed Psychiatric Technician · Oakland, CA

NPI number 1104704899 Active

Practice location

2633 E 27th St
Oakland, CA 94601-1912

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X33106 (CA)

Licensed Psychiatric Technician: 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 dis…

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About NPI 1104704899

Cheryl Latarsha Sturdivant's National Provider Identifier is 1104704899, issued on Aug 22, 2025. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Oakland, CA. The record was last updated on Sep 8, 2026.