Individual provider · Type 1 NPI

Alberta Petty

Licensed Psychiatric Technician · St. Louis, MO

NPI number 1932585791 Active

Practice location

3863 Cleveland Ave
St. Louis, MO 63110-4009

Call (314) 664-3927 Map

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 1932585791

Alberta Petty's National Provider Identifier is 1932585791, issued on Aug 4, 2015. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in St. Louis, MO. The record was last updated on Aug 4, 2015.