Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | PSY7870 | CA |
N | 103T00000X | Psychologist | PSY7870 | CA |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | PSY7870 | CA |
N | 103TA0700X | Adult Development & Aging Psychologist | CA7870 | CA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | PSY7870 | CA |
Y | 103G00000X | Clinical Psychologist | PSY7870 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY7870 | CA |
N | 103TE1100X | Exercise & Sports Psychologist | PSY7870 | CA |
N | 103TF0000X | Family Psychologist | PSY7870 | CA |
N | 103TF0200X | Forensic Psychologist | PSY7870 | CA |
N | 103TH0100X | Health Service | PSY7870 | CA |
N | 103TP2701X | Group Psychotherapist | PSY7870 | CA |
NPI | 1457476764 |
---|---|
Provider Name | Dr. Katherine J Emerick |
First Address | Ventura, CA 93003-6555 |
Second Address | Ventura, CA 93003-6555 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2007 |
Last Update Date | 11/08/2010 |