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Marie Ann Long, LPT
Licensed Psychiatric Technician in Oakland, California
NPI 1336206572

Marie Ann Long is a Licensed Psychiatric Technician based in Oakland, CA. Marie Ann Long practices in Oakland, CA and has the professional credentials of LPT. The NPI Number for Marie Ann Long is 1336206572 and holds a License No. 22054 (California).

The current practice location address for Marie Ann Long is 7200 Bancroft Ave, Oakland, CA and can be reached out via phone at 510-553-8500 and via fax at 510-553-8550.

Location: 7200 Bancroft Ave, Oakland, CA, 94603-2815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336206572
Provider Name
Marie Ann Long
Credential
LPT
Provider Entity Type
Individual
Gender
Female
Address
7200 Bancroft Ave, Oakland, CA, 94603-2815
Phone Number
510-553-8500
Fax Number
510-553-8550
Provider Enumeration Date
01/03/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1801983960 01 CA ICM
institution
Provider Business Practice Location Address Details
Address
7200 Bancroft Ave
City
Oakland
State
California
Zip
94605-2403
Phone Number
510-553-8500
Fax Number
510-553-8550
person
Provider Business Mailing Address Details
Address
7200 Bancroft Ave
City
Oakland
State
California
Zip
94605-2403
Phone Number
510-553-8500
Fax Number
510-553-8550
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
22054 (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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