Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 22061 | CA |
Y | 103T00000X | Psychologist | 22061 | CA |
NPI | 1003147950 |
---|---|
Provider Name | Dr. Amy Elizabeth Lappen |
First Address | Long Beach, CA 90807-3028 |
Second Address | Signal Hill, CA 90755-2181 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2010 |
Last Update Date | 26/09/2017 |