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Alfred Jameson III Boatwright

Licensed Psychiatric Technician in Long Beach, CA. Individual provider (NPI-1).

NPI number1750599080
StatusActive
Last updated in NPPESNov 21, 2025

Details

NPI
1750599080
Entity type
Individual (NPI-1)
Name
Alfred Jameson III Boatwright
Sex
Male
Sole proprietor
No
Enumeration date
May 18, 2007
Certification date
Nov 21, 2025
Last updated
Nov 21, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
167G00000X Licensed Psychiatric Technician41784CAYes
174400000X Specialist––
225400000X Rehabilitation Practitioner––

Practice location

1775 Chestnut Ave
Long Beach, CA 90813-1674

Phone 562-599-8444 · Fax 562-591-6134

Mailing address

3850 Crenshaw Blvd
Los Angeles, CA 90008-1821

Phone 323-751-3026

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Other Licensed Psychiatric Technician providers in Long Beach, CA

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