Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | ||
Y | 103T00000X | Psychologist | ||
N | 225C00000X | Rehabilitation Counselor |
NPI | 1124207923 |
---|---|
Provider Name | Dr. Erin Jean Connaughton |
First Address | Commerce, CA 90022-5103 |
Second Address | Commerce, CA 90022-5103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2007 |
Last Update Date | 17/09/2015 |