Individual provider · Type 1 NPI

Carol Petty, LVN

Licensed Psychiatric Technician · Eureka, CA

NPI number 1700147295 Active

Practice location

720 Wood St
Eureka, CA 95501-4413

Call (707) 268-2990 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XVN217444 (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 1700147295

Carol Petty, LVN's National Provider Identifier is 1700147295, issued on May 31, 2012. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Eureka, CA. The record was last updated on May 31, 2012.