Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | PSY13039 | CA |
NPI | 1215164454 |
---|---|
Provider Name | Dr. Janine Woodward Schroth |
First Address | Newport Beach, CA 92660-2732 |
Second Address | Newport Beach, CA 92660-2732 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2009 |
Last Update Date | 15/06/2009 |