Doctor Name: | JANICE K MCNAMARA |
NPI Number: | 1477886638 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 26631 |
Business Practice Address: | 13001 Ramona Blvd Ste I Irwindale, CA - 917063752 |
Business Phone Number: | 6263373828 |
Business Fax Number: | |
Mailing Address: | 2106 Mesita Ave, WEST COVINA |
State: | CA |
Postal Code: | 917912720 |
Phone Number: | 6269673069 |
Fax Number: | |
NPI Enumeration Date: | 09/04/2009 |
NPI Last Update Date: | 08/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 26631 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |