Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0700X | Adult Development & Aging Psychologist |
NPI | 1285119321 |
---|---|
Provider Name | Ms. Eyvonne Hinton |
First Address | Woodland Hills, CA 91367-3755 |
Second Address | Calabasas, CA 91302-3125 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2018 |
Last Update Date | 25/09/2018 |