Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | PSY15200 | CA |
Y | 103G00000X | Clinical Psychologist | PSY15200 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY15200 | CA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY15200 | CA |
N | 103TF0200X | Forensic Psychologist | PSY15200 | CA |
NPI | 1134309461 |
---|---|
Provider Name | Dr. Eric Jonathan Day |
First Address | Beverly Hills, CA 90210-4410 |
Second Address | Beverly Hills, CA 90210-4410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2007 |
Last Update Date | 03/11/2007 |