Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TR0400X | Rehabilitation Psychologist | 1437 | CA |
NPI | 1083756878 |
---|---|
Provider Name | Debra Abramowitz |
First Address | Norwalk, CA 90650-4328 |
Second Address | Norwalk, CA 90650-4328 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103TR0400X | CPRP (01) | CA |