Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | PSY16096 | CA |
NPI | 1063631968 |
---|---|
Provider Name | Dr. Erik J Abell |
First Address | Costa Mesa, CA 92626-5988 |
Second Address | Costa Mesa, CA 92626-5988 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2007 |
Last Update Date | 08/07/2007 |