Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PSY16932 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY16932 | CA |
NPI | 1003907189 |
---|---|
Provider Name | Dr. Alison. Feldman |
First Address | Los Angeles, CA 90024 |
Second Address | Los Angeles, CA 90024 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 08/07/2007 |