Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist |
NPI | 1104025386 |
---|---|
Provider Name | Dr. Eni R Schall |
First Address | Berkeley, CA 94703-2407 |
Second Address | Berkeley, CA 94703-2407 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2007 |
Last Update Date | 26/01/2015 |