Individual provider · Type 1 NPI

Michael Joseph Long

Licensed Psychiatric Technician · Los Angeles, CA

NPI number 1629413067 Active

Practice location

515 Columbia Ave # 200
Los Angeles, CA 90017-1209

Call (213) 249-9388 Map

Fax (213) 489-7993

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X34981 (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 1629413067

Michael Joseph Long's National Provider Identifier is 1629413067, issued on Apr 29, 2013. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 1, 2020.