Peter Mccarthy A
Licensed Psychiatric Technician in Los Angeles, CA. Individual provider (NPI-1).
NPI number1255412813
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1255412813
- Entity type
- Individual (NPI-1)
- Name
- Peter Mccarthy A
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 18, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 167G00000X | Licensed Psychiatric Technician | 20836 | CA | Yes |
Practice location
1925 Daly StLos Angeles, CA 90031-3309
Phone 323-226-4447
Mailing address
825 N Evergreen StBurbank, CA 91505-2712
Phone 818-238-0161
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