RANDALL THOMAS JR.

Licensed Psychiatric Technician

Active Individual
NPI: 1043633902

Practice Address

2975 MCMILLAN AVE STE 164
San Luis Obispo, CA 93401

Phone: (805) 438-3890

Specialties

Specialty Code Primary License
Licensed Psychiatric Technician 167G00000X Yes 34530 (CA)
Day Training/Habilitation Specialist 373H00000X No -

Frequently Asked Questions

NPI 1043633902 is the National Provider Identifier for RANDALL THOMAS JR., a Licensed Psychiatric Technician provider located in San Luis Obispo, CA. This NPI was enumerated on January 29, 2014.
RANDALL THOMAS JR. practices at 2975 MCMILLAN AVE STE 164, San Luis Obispo, CA 93401.

Quick Facts

NPI
1043633902
Type
Individual
Enumerated
Jan 29, 2014
Last Updated
Feb 2, 2026

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