Individual provider · Type 1 NPI

Diandra Alyssa Thompson, LSW

Licensed Psychiatric Technician · Philadelphia, PA

NPI number 1871272633 Active

Practice location

6042 Washington Ave Apt 1
Philadelphia, PA 19143-2322

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XSW133272 (PA)

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 1871272633

Diandra Alyssa Thompson, LSW's National Provider Identifier is 1871272633, issued on Jul 17, 2023. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 17, 2023.