Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | PSY26634 | CA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
Y | 103TF0200X | Forensic Psychologist | PSY26634 | CA |
NPI | 1396066684 |
---|---|
Provider Name | Dr. Sarah Mcintosh |
First Address | Newport Beach, CA 92660-3018 |
Second Address | Newport Beach, CA 92660-3018 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2010 |
Last Update Date | 29/08/2016 |