Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 7327 | CA |
NPI | 1104459494 |
---|---|
Provider Name | Stephanie Scarminach |
First Address | West Hollywood, CA 90069-5122 |
Second Address | Los Angeles, CA 90024-4811 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2020 |
Last Update Date | 15/02/2020 |