Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | PSY14837 | CA |
Y | 103TA0700X | Adult Development & Aging Psychologist | PSY14837 | CA |
N | 103G00000X | Clinical Psychologist | PSY14837 | CA |
N | 103TC0700X | Clinical Psychologist | PSY14837 | CA |
NPI | 1285969899 |
---|---|
Provider Name | Isabelle Evelyne Stierli |
First Address | Berkeley, CA 94705 |
Second Address | Berkeley, CA 94705-1124 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2009 |
Last Update Date | 15/10/2009 |