Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 27713 | CA |
Y | 103G00000X | Clinical Psychologist | 27713 | CA |
Y | 103TC0700X | Clinical Psychologist | 27713 | CA |
N | 103TR0400X | Rehabilitation Psychologist | 27713 | CA |
NPI | 1265985873 |
---|---|
Provider Name | Dr. Laura Elizabeth Natta |
First Address | Belmont, CA 94002-1507 |
Second Address | Sausalito, CA 94965-2231 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2016 |
Last Update Date | 31/07/2016 |