Kelly Mothner, PH.D. Valid NPI

Individual provider · Clinical Psychologist · Hermosa Beach, CA

NPI

1891132072

Type

Individual (Type 1)

Primary specialty

Clinical Psychologist (Psychologist)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103TC0700X

License number

PSY25739 (CA)

Sex

Female

Sole proprietor

Yes

Enumerated

2013-05-29

Last updated

2013-05-30