Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | PSY 21357 | CA |
N | 103TC0700X | Clinical Psychologist | PSY 21357 | CA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
Y | 103G00000X | Clinical Psychologist | PSY 21357 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY 21357 | CA |
NPI | 1093957029 |
---|---|
Provider Name | Dr. Erica Krisztal Felsenthal |
First Address | Los Angeles, CA 90025-5363 |
Second Address | Los Angeles, CA 90025-5363 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2009 |
Last Update Date | 25/08/2009 |