Elizabeth De La Pena
Psychologist in Wilmington, CA. Individual provider (NPI-1).
NPI number1982103206
StatusActive
Last updated in NPPESFeb 2, 2018
Details
- NPI
- 1982103206
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth De La Pena
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 2, 2018
- Last updated
- Feb 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | PSB94022632 | CA | Yes |
Practice location
1333 Island AveWilmington, CA 90744-2501
Phone 310-850-5857
Mailing address
1333 Island AveWilmington, CA 90744-2501
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