Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PSY13573 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY13573 | CA |
N | 102L00000X | Psychologist | PSY13573 | CA |
N | 103T00000X | Psychologist | PSY13573 | CA |
N | 103TA0700X | Adult Development & Aging Psychologist | PSY13573 | CA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | PSY13573 | CA |
N | 103G00000X | Clinical Psychologist | PSY13573 | CA |
N | 103TC0700X | Clinical Psychologist | PSY13573 | CA |
N | 103TC1900X | Counseling Psychologist | PSY13573 | CA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY13573 | CA |
N | 103TF0000X | Family Psychologist | PSY13573 | CA |
N | 103TF0200X | Forensic Psychologist | PSY13573 | CA |
N | 103TH0004X | Health Psychologist | PSY13573 | CA |
N | 103TH0100X | Health Service | PSY13573 | CA |
N | 103TM1800X | Intellectual & Developmental Disabilities | PSY13573 | CA |
N | 103TR0400X | Rehabilitation Psychologist | PSY13573 | CA |
N | 103TS0200X | School Psychologist | PSY13573 | CA |
NPI | 1134318223 |
---|---|
Provider Name | Alexandra Montesi |
First Address | Los Angeles, CA 90046-2401 |
Second Address | Los Angeles, CA 90046-2401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2007 |
Last Update Date | 15/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
PSY13573 | (05) | CA |