Individual provider · Type 1 NPI

William Wade Middleton, LPT/PET CLINICIAN

Licensed Psychiatric Technician · Lynwood, CA

NPI number 1922488923 Active

Practice location

3630 E Imperial Hwy
Lynwood, CA 90262-2609

Call (301) 900-8210 Map

Fax (310) 900-8286

Mailing address

919 Olive Ave
Huntington Beach, CA 92648-4809

Other practice locations

  • 25352 Hillary Ln, Laguna Hills, CA 92653-5217 · (949) 652-5351

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XPT26958 (CA)
Licensed Psychiatric Technician Primary 167G00000XPT26958 (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 1922488923

William Wade Middleton, LPT/PET CLINICIAN's National Provider Identifier is 1922488923, issued on Jun 4, 2015. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Lynwood, CA. The record was last updated on Aug 28, 2019.