Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY20264 | CA |
N | 103TH0100X | Health Service | PSY20264 | CA |
NPI | 1013072081 |
---|---|
Provider Name | Dr. Marni Carmela Switkin Nagel |
First Address | Orange, CA 92868-3835 |
Second Address | Orange, CA 92868-4213 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2006 |
Last Update Date | 08/07/2007 |