Individual provider · Type 1 NPI

Maryam Booth

Licensed Psychiatric Technician · Norwalk, CA

NPI number 1316574247 Active

Practice location

12440 Firestone Blvd Ste 3020
Norwalk, CA 90650-9328

Call (562) 864-7821 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X41591 (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 1316574247

Maryam Booth's National Provider Identifier is 1316574247, issued on Mar 23, 2020. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Norwalk, CA. The record was last updated on Mar 23, 2020.