Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 103TS0200X | Psychologist | School | LEP 2819 | CALIFORNIA | Yes |
| 2 | 103TS0200X | Psychologist | School | LEP 3026 | CALIFORNIA | No |
| 3 | 1041C0700X | Social Worker | Clinical | LCSW 72275 | CALIFORNIA | No |
| 4 | 106H00000X | Marriage & Family Therapist | | LMFT 44098 | CALIFORNIA | No |