Individual provider · Type 1 NPI

Glen Andrew Canter Jr., LPT

Licensed Psychiatric Technician · San Luis Obispo, CA

NPI number 1255903845 Active

Practice location

2178 Johnson Ave
San Luis Obispo, CA 93401-4535

Call (805) 781-4700 Map

Mailing address

4332 Tranquilla Ave
Atascadero, CA 93422-2867

Specialties and licenses

Taxonomy	Code	License
Licensed Psychiatric Technician Primary	167G00000X	32987 (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 1255903845

Glen Andrew Canter Jr., LPT's National Provider Identifier is 1255903845, issued on Jul 13, 2021. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jul 13, 2021.