Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-15-18326 | CA |
N | 102L00000X | Psychologist | LEP3701 | CA |
N | 103T00000X | Psychologist | LEP3701 | CA |
N | 103TS0200X | School Psychologist | CA |
NPI | 1053857490 |
---|---|
Provider Name | Dr. Jocelyn Hively |
First Address | Bakersfield, CA 93308-6170 |
Second Address | Bakersfield, CA 93309 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2017 |
Last Update Date | 13/01/2017 |