Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY10632 | CA |
NPI | 1063587418 |
---|---|
Provider Name | Dr. Aubrey Elizabeth Joy |
First Address | Sacramento, CA 95816-6701 |
Second Address | Sacramento, CA 95816-6701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 08/07/2007 |