Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PSY25675 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY25675 | CA |
N | 103TH0004X | Health Psychologist |
NPI | 1063855336 |
---|---|
Provider Name | Lawrence Feinstein |
First Address | Belmont, CA 94002-1260 |
Second Address | Belmont, CA 94002-1260 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2013 |
Last Update Date | 21/12/2021 |