Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
N | 103TB0200X | Cognitive & Behavioral Psychologist | 2483 | KS |
Y | 103G00000X | Clinical Psychologist | PSY28043 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY28043 | CA |
NPI | 1053551713 |
---|---|
Provider Name | Dr. Erin Laura Haven |
First Address | Ventura, CA 93003-0714 |
Second Address | Ventura, CA 93003-0714 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2009 |
Last Update Date | 30/08/2021 |