Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 15719 | CA |
Y | 103T00000X | Psychologist | 15719 | CA |
N | 103TR0400X | Rehabilitation Psychologist | 15719 | CA |
NPI | 1407822695 |
---|---|
Provider Name | Erin J Choi |
First Address | San Jose, CA 95128-2604 |
Second Address | San Jose, CA 95128-2604 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2006 |
Last Update Date | 11/09/2007 |