Individual
ETHAN ABERCROMBIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
81634 RICOCHET WAY, LA QUINTA, CA 92253-9063
(760) 218-7717
Mailing address
81634 RICOCHET WAY, LA QUINTA, CA 92253-9063
(760) 218-7717
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1236
NM
103TC0700X
Clinical Psychologist
Primary
21994
CA
103TC0700X
Clinical Psychologist
3951
AZ
Other
Enumeration date
11/12/2013
Last updated
08/18/2025
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