Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TH0100X | Health Service | PSY28721 | CA |
NPI | 1437402708 |
---|---|
Provider Name | Dr. Elisabeth Turner |
First Address | Encino, CA 91436-2601 |
Second Address | Encino, CA 91436-2601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2012 |
Last Update Date | 20/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01261511 | (05) | CA |