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Mr. Joe Randall Wilson, LPT
Licensed Psychiatric Technician in Fresno, California
NPI 1922167345

Joe Randall Wilson is a Licensed Psychiatric Technician based in Fresno, CA. Joe Randall Wilson practices in Fresno, CA and has the professional credentials of LPT. The NPI Number for Joe Randall Wilson is 1922167345 and holds a License No. (California).

The current practice location address for Joe Randall Wilson is 2171 N Fine Ave, Fresno, CA and can be reached out via phone at 559-455-2000 and via fax at 559-455-2041. You can also correspond with Joe Randall Wilson through the mailing address at 2171 N FINE AVE, FRESNO, CA - 93727-1519 (mailing address contact number: 559-455-2000).

Location: 2171 N Fine Ave, Fresno, CA, 93727-1519
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922167345
Provider Name
Joe Randall Wilson
Credential
LPT
Provider Entity Type
Individual
Gender
Male
Address
2171 N Fine Ave, Fresno, CA, 93727-1519
Phone Number
559-455-2000
Fax Number
559-455-2041
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2171 N Fine Ave
City
Fresno
State
California
Zip
93727-1519
Phone Number
559-455-2000
Fax Number
559-455-2041
person
Provider Business Mailing Address Details
Address
2171 N Fine Ave
City
Fresno
State
California
Zip
93727-1519
Phone Number
559-455-2000
Fax Number
559-455-2041
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
()
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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