Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0700X | Adult Development & Aging Psychologist | PSY19212 | CA |
Y | 103G00000X | Clinical Psychologist | PSY19212 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY19212 | CA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY19212 | CA |
NPI | 1063611507 |
---|---|
Provider Name | Dr. Cambra Finch |
First Address | La Jolla, CA 92037-0075 |
Second Address | La Jolla, CA 92037-0075 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2007 |
Last Update Date | 14/07/2007 |