Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 3389 | CA |
NPI | 1023444635 |
---|---|
Provider Name | Ms. Kathryn Tinsley |
First Address | Long Beach, CA 90809-0113 |
Second Address | Huntington Beach, CA 92647-3007 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2013 |
Last Update Date | 16/09/2013 |