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Ms. Diandra Alyssa Thompson, LSW
Licensed Psychiatric Technician in Philadelphia, Pennsylvania
NPI 1871272633

Diandra Alyssa Thompson is a Licensed Psychiatric Technician based in Philadelphia, PA. Diandra Alyssa Thompson practices in Philadelphia, PA and has the professional credentials of LSW. The NPI Number for Diandra Alyssa Thompson is 1871272633 and holds a License No. SW133272 (Pennsylvania).

The current practice location address for Diandra Alyssa Thompson is 6042 Washington Ave Apt 1, Philadelphia, PA and can be reached out via phone at 215-605-3636.

Location: 6042 Washington Ave Apt 1, Philadelphia, PA, 19143-2322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871272633
Provider Name
Diandra Alyssa Thompson
Credential
LSW
Provider Entity Type
Individual
Gender
Female
Address
6042 Washington Ave Apt 1, Philadelphia, PA, 19143-2322
Phone Number
215-605-3636
Fax Number
Provider Enumeration Date
07/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6042 Washington Ave Apt 1
City
Philadelphia
State
Pennsylvania
Zip
19143-2322
Phone Number
215-605-3636
Fax Number
person
Provider Business Mailing Address Details
Address
6042 Washington Ave Apt 1
City
Philadelphia
State
Pennsylvania
Zip
19143-2322
Phone Number
215-605-3636
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
SW133272 (Pennsylvania)
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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