Individual provider · Type 1 NPI

Sean Wilson, LPT

Licensed Psychiatric Technician · Glendora, CA

NPI number 1891460200 Active

Practice location

1160 S Grand Ave
Glendora, CA 91740-5000

Mailing address

9160 Hamilton St
Rancho Cucamonga, CA 91701-4894

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPT41616 (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 1891460200

Sean Wilson, LPT's National Provider Identifier is 1891460200, issued on Aug 9, 2021. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Glendora, CA. The record was last updated on Aug 9, 2021.