Doctor Name: | JANET URQUIZU |
NPI Number: | 1114043783 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCS21386 |
License Number: | PSY22763 |
Business Practice Address: | 6700 Fallbrook Ave 111b West Hills, CA - 913073530 |
Business Phone Number: | 8187442135 |
Business Fax Number: | 8187131062 |
Mailing Address: | 6700 Fallbrook Ave, 111b WEST HILLS |
State: | CA |
Postal Code: | 913073530 |
Phone Number: | 8187442135 |
Fax Number: | 8187131062 |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 08/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY22763 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |