Individual provider · Type 1 NPI

Fitzgerald T. Miller

Licensed Psychiatric Technician · Culver City, CA

NPI number 1326362146 Active

Practice location

9808 Venice Blvd, Suite 700
Culver City, CA 90232-2732

Fax (310) 840-7023

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X28472 (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 1326362146

Fitzgerald T. Miller's National Provider Identifier is 1326362146, issued on Mar 23, 2010. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Culver City, CA. The record was last updated on Sep 29, 2026.