Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 32469 | CA |
Y | 103T00000X | Psychologist | 32469 | CA |
N | 103TB0200X | Cognitive & Behavioral Psychologist |
NPI | 1235556739 |
---|---|
Provider Name | Sandra Labeeb |
First Address | Los Angeles, CA 90010-2533 |
Second Address | Los Angeles, CA 90010 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2014 |
Last Update Date | 26/05/2021 |