Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | 18039 | TX |
N | 103K00000X | Behavior Analyst | 1-13-13509 | |
Y | 102L00000X | Psychologist | PSY27313 | CA |
Y | 103T00000X | Psychologist | PSY27313 | CA |
N | 103TS0200X | School Psychologist | 32196 | TX |
N | 103TS0200X | School Psychologist | LEP 2834 | CA |
NPI | 1073869632 |
---|---|
Provider Name | Dr. Danielle Nahas |
First Address | San Diego, CA 92116-1131 |
Second Address | San Diego, CA 92121-3021 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2012 |
Last Update Date | 21/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1457638124 | NPI (01) |