WILLIAM WADE MIDDLETON

LYNWOOD, CA
NPI1922488923
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  PT26958)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: CA  PT26958)
Enumeration Date2015-06-04
Last Update Date2019-08-28
Business Address
WILLIAM WADE MIDDLETON LPT/PET clinician
3630 E IMPERIAL HWY
LYNWOOD, CA 90262-2609
Phone number: 301-900-8210
Mailing Address
WILLIAM WADE MIDDLETON LPT/PET clinician
919 OLIVE AVE
HUNTINGTON BEACH, CA 92648-4809
Phone number: 714-591-3856