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Fitzgerald T Miller
Licensed Psychiatric Technician in Culver City, California
NPI 1326362146

Fitzgerald T Miller is a Licensed Psychiatric Technician based in Culver City, CA. Fitzgerald T Miller practices in Culver City, CA. The NPI Number for Fitzgerald T Miller is 1326362146 and holds a License No. 28472 (California).

The current practice location address for Fitzgerald T Miller is 9808 Venice Blvd, Culver City, CA and can be reached out via phone at 310-945-3350 and via fax at 310-840-7023.

Location: 9808 Venice Blvd, Culver City, CA, 90232-2732
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326362146
Provider Name
Fitzgerald T Miller
Credential
Provider Entity Type
Individual
Gender
Male
Address
9808 Venice Blvd, Culver City, CA, 90232-2732
Phone Number
310-945-3350
Fax Number
310-840-7023
Provider Enumeration Date
03/23/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9808 Venice Blvd
City
Culver City
State
California
Zip
90232-2732
Phone Number
310-945-3350
Fax Number
310-840-7023
person
Provider Business Mailing Address Details
Address
9808 Venice Blvd
City
Culver City
State
California
Zip
90232-2732
Phone Number
310-945-3350
Fax Number
310-840-7023
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
28472 (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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