Individual provider · Type 1 NPI

Joe Randall Wilson, LPT

Licensed Psychiatric Technician · Fresno, CA

NPI number 1922167345 Active

Practice location

2171 N Fine Ave
Fresno, CA 93727-1519

Call (559) 455-2000 Map

Fax (559) 455-2041

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XNone listed

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 1922167345

Joe Randall Wilson, LPT's National Provider Identifier is 1922167345, issued on Dec 8, 2006. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Fresno, CA. The record was last updated on Jul 8, 2007.