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Michael Joseph Long
Licensed Psychiatric Technician in Los Angeles, California
NPI 1629413067

Michael Joseph Long is a Licensed Psychiatric Technician based in Los Angeles, CA. Michael Joseph Long practices in Los Angeles, CA. The NPI Number for Michael Joseph Long is 1629413067 and holds a License No. 34981 (California).

The current practice location address for Michael Joseph Long is 515 Columbia Ave # 200, Los Angeles, CA and can be reached out via phone at 213-249-9388 and via fax at 213-489-7993.

Location: 515 Columbia Ave # 200, Los Angeles, CA, 90017-1209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629413067
Provider Name
Michael Joseph Long
Credential
Provider Entity Type
Individual
Gender
Male
Address
515 Columbia Ave # 200, Los Angeles, CA, 90017-1209
Phone Number
213-249-9388
Fax Number
213-489-7993
Provider Enumeration Date
04/29/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
515 Columbia Ave # 200
City
Los Angeles
State
California
Zip
90017-1209
Phone Number
213-249-9388
Fax Number
213-489-7993
person
Provider Business Mailing Address Details
Address
515 Columbia Ave # 200
City
Los Angeles
State
California
Zip
90017-1209
Phone Number
213-249-9388
Fax Number
213-489-7993
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
34981 (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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