Doctor Name: | DR. KYRA M MENDOZA-JAMES |
NPI Number: | 1295804516 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | PSY24649 |
Business Practice Address: | 25321 Andreo Ave Lomita, CA - 907171715 |
Business Phone Number: | 3238965019 |
Business Fax Number: | |
Mailing Address: | 1501 Hughes Way, #150 LONG BEACH |
State: | CA |
Postal Code: | 908101876 |
Phone Number: | 3238965019 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 04/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY24649 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |