Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | ||
N | 103TC2200X | Clinical Child & Adolescent Psychologist | ||
N | 103TM1800X | Intellectual & Developmental Disabilities |
NPI | 1043408099 |
---|---|
Provider Name | Cameron Leigh Neece |
First Address | Los Angeles, CA 90027 |
Second Address | Los Angeles, CA 90027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2007 |
Last Update Date | 20/07/2010 |