Individual provider · Type 1 NPI
Marie Ann Long, LPT
Licensed Psychiatric Technician · Oakland, CA
Practice location
7200 Bancroft Ave, Eastmont Town Center Bldg. B Suite 133
Oakland, CA 94605-2403
Fax (510) 553-8550
Mailing address
9909 Bancroft Ave
Oakland, CA 94603-2815
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Psychiatric Technician Primary | 167G00000X | 22054 (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 1336206572
Marie Ann Long, LPT's National Provider Identifier is 1336206572, issued on Jan 3, 2007. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Oakland, CA. The record was last updated on Jul 8, 2007.