Individual provider · Type 1 NPI

Maija Thackerson, L.P.T.

Licensed Psychiatric Technician · Long Beach, CA

NPI number 1346502218 Active

Practice location

4151 E Fountain St
Long Beach, CA 90804-3023

Call (562) 719-9250 Map

Fax (562) 719-9261

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPT 16398 (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 1346502218

Maija Thackerson, L.P.T.'s National Provider Identifier is 1346502218, issued on Jun 15, 2012. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Long Beach, CA. The record was last updated on Jun 15, 2012.