Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PSY25299 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY25299 | CA |
N | 103TH0004X | Health Psychologist | PSY25299 | CA |
N | 103TR0400X | Rehabilitation Psychologist | PSY25299 | CA |
NPI | 1720377559 |
---|---|
Provider Name | Dr. Baba Singh |
First Address | Altadena, CA 91003-6577 |
Second Address | Fontana, CA 92335-6720 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2011 |
Last Update Date | 30/11/2021 |