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William Wade Middleton, LPT/PETCLINICIAN
Licensed Psychiatric Technician in Lynwood, California
NPI 1922488923

William Wade Middleton is a Licensed Psychiatric Technician based in Huntington Beach, CA. William Wade Middleton practices in Lynwood, CA and has the professional credentials of LPT/PETCLINICIAN. The NPI Number for William Wade Middleton is 1922488923 and holds a License No. PT26958 (California).

The current practice location address for William Wade Middleton is 3630 E Imperial Hwy, Lynwood, CA and can be reached out via phone at 301-900-8210 and via fax at 310-900-8286.

Location: 3630 E Imperial Hwy, Lynwood, CA, 92648-4809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922488923
Provider Name
William Wade Middleton
Credential
LPT/PETCLINICIAN
Provider Entity Type
Individual
Gender
Male
Address
3630 E Imperial Hwy, Lynwood, CA, 92648-4809
Phone Number
301-900-8210
Fax Number
310-900-8286
Provider Enumeration Date
06/04/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
167G00000X 01 CA ADDTAXONMY
1245227180 05 CA
institution
Provider Business Practice Location Address Details
Address
3630 E Imperial Hwy
City
Lynwood
State
California
Zip
90262-2609
Phone Number
301-900-8210
Fax Number
310-900-8286
person
Provider Business Mailing Address Details
Address
3630 E Imperial Hwy
City
Lynwood
State
California
Zip
90262-2609
Phone Number
301-900-8210
Fax Number
310-900-8286
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
PT26958 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT26958 (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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