Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) |
NPI | 1487883864 |
---|---|
Provider Name | Ms. Jamie Lewis Mishler |
First Address | Bakersfield, CA 93302-1000 |
Second Address | Bakersfield, CA 93309 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2009 |
Last Update Date | 21/06/2012 |