Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | PSY12559 | CA |
N | 103TC0700X | Clinical Psychologist | PSY12559 | CA |
N | 102L00000X | Psychologist | PSY12559 | CA |
N | 103T00000X | Psychologist | PSY12559 | CA |
N | 103TA0700X | Adult Development & Aging Psychologist | PSY12559 | CA |
N | 103G00000X | Clinical Psychologist | PSY12559 | CA |
N | 103TC0700X | Clinical Psychologist | PSY12559 | CA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY12559 | CA |
N | 103TF0200X | Forensic Psychologist | PSY12559 | CA |
NPI | 1538383831 |
---|---|
Provider Name | Dr. Clare Ames-Klein |
First Address | Lafayette, CA 94549-5094 |
Second Address | Lafayette, CA 94549-5094 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2007 |
Last Update Date | 08/07/2007 |