Individual provider · Type 1 NPI

Jeremiah Edwards, LPT

Licensed Psychiatric Technician · Los Angeles, CA

NPI number 1124462734 Active

Practice location

3881 S Western Ave, 2500 Wilshire Blvd Suite 500
Los Angeles, CA 90062-1105

Fax (213) 389-7358

Mailing address

1601 S Garey Ave Spc 61
Pomona, CA 91766-5260

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X36785 (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 1124462734

Jeremiah Edwards, LPT's National Provider Identifier is 1124462734, issued on Apr 25, 2013. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 25, 2013.