Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 122289 | CA |
Y | 103T00000X | Psychologist | 122289 | CA |
NPI | 1003061672 |
---|---|
Provider Name | Dr. Corrine Loing Hatton |
First Address | Los Angeles, CA 90025-5079 |
Second Address | Los Angeles, CA 90025-5079 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/11/2008 |
Last Update Date | 24/11/2008 |