Individual
DR. EMILIA SHINNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
25455 BARTON RD STE 204B, LOMA LINDA, CA 92354-3130
(909) 558-6600
Mailing address
FILE # 54701, LOS ANGELES, CA 90074-4701
(909) 558-6600
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY29484
CALIFORNIA BOARD OF PSYCHOLOGY
CA
Enumeration date
03/15/2019
Last updated
03/15/2019
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