ALBERTA PETTY
NPI 1932585791
Licensed Psychiatric Technician in Saint Louis, MO

Q: What is the provider's specialty?

The provider's specialty is Licensed Psychiatric Technician with taxonomy code 167G00000X.

Active since August 04, 2015

3863 CLEVELAND AVE, SAINT LOUIS, MO 63110(314) 664-3927 Get Directions Write a Review

NPPES record last updated: August 4, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Alberta Petty NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALBERTA PETTY (NPI 1932585791) is an individual licensed psychiatric technician in Saint Louis, Missouri and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1932585791

Entity TypeIndividualFemale

Primary Taxonomy167G00000X

Provider Legal NameALBERTA PETTY

Location Address3863 CLEVELAND AVESaint Louis, MO 63110-4009

Mailing Address3863 Cleveland AveSaint Louis, MO 63110-4009 · (314) 664-3927

Phone(314) 664-3927

Sole ProprietorNo

Enumeration DateAugust 4, 2015

✔ NPI 1932585791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers

Taxonomy Code167G00000X

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.

3863 CLEVELAND AVE, Saint Louis, MO 63110

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