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Tony Jackson, LPT
Licensed Psychiatric Technician in Merced, California
NPI 1225424211

Tony Jackson is a Licensed Psychiatric Technician based in Merced, CA. Tony Jackson practices in Merced, CA and has the professional credentials of LPT. The NPI Number for Tony Jackson is 1225424211 and holds a License No. 36316 (California).

The current practice location address for Tony Jackson is 300 E 15Th St, Merced, CA and can be reached out via phone at 209-381-6879 and via fax at 209-725-3775.

Location: 300 E 15Th St, Merced, CA, 95344-0084
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225424211
Provider Name
Tony Jackson
Credential
LPT
Provider Entity Type
Individual
Gender
Male
Address
300 E 15Th St, Merced, CA, 95344-0084
Phone Number
209-381-6879
Fax Number
209-725-3775
Provider Enumeration Date
04/07/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1013030808 05 CA
institution
Provider Business Practice Location Address Details
Address
300 E 15Th St
City
Merced
State
California
Zip
95341-6217
Phone Number
209-381-6879
Fax Number
209-725-3775
person
Provider Business Mailing Address Details
Address
300 E 15Th St
City
Merced
State
California
Zip
95341-6217
Phone Number
209-381-6879
Fax Number
209-725-3775
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
36316 (California)
Definition
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 disorders and developmental disabilities.
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