Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | P09162 | NY |
Y | 103TC0700X | Clinical Psychologist | P09162 | NY |
NPI | 1003324013 |
---|---|
Provider Name | Jomana K Sweiss |
First Address | Los Angeles, CA 90039 |
Second Address | Los Angeles, CA 90039 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2018 |
Last Update Date | 24/01/2022 |