Individual
LUCY EADS
Active
Individual
LUCY EADS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
94028011
CA
363AM0700X
Medical Physician Assistant
Primary
PA18333
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/27/2007
Last updated
11/18/2025
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