Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 24144 | CA |
Y | 103TA0700X | Adult Development & Aging Psychologist | 24144 | CA |
N | 103G00000X | Clinical Psychologist | 24144 | CA |
N | 103TC0700X | Clinical Psychologist | 24144 | CA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 24144 | CA |
N | 103TF0000X | Family Psychologist | 24144 | CA |
N | 103TH0004X | Health Psychologist | 24144 | CA |
N | 103TP2701X | Group Psychotherapist | 24144 | CA |
NPI | 1467741330 |
---|---|
Provider Name | Ms. Smitha Rau |
First Address | Saratoga, CA 95070-6551 |
Second Address | Cupertino, CA 95014-0712 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2011 |
Last Update Date | 14/01/2022 |