Individual provider · Type 1 NPI

Andra Amory Wasket

Licensed Psychiatric Technician · Fontana, CA

NPI number 1326639964 Active

Practice location

14677 Merrill Ave
Fontana, CA 92335-4219

Call (951) 643-2340 Map

Mailing address

277 Bloomington Ave Unit 235
Rialto, CA 92376-6495

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X41806 (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 1326639964

Andra Amory Wasket's National Provider Identifier is 1326639964, issued on Jan 27, 2021. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Fontana, CA. The record was last updated on Jan 27, 2021.