NPI 1245660281 · live from the CMS NPI Registry
Ethan Abercrombie
Psychologist, Clinical in La Quinta, CA. National Provider Identifier 1245660281, active.
NPI record
| NPI | 1245660281 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 81634 Ricochet Way, La Quinta, CA 92253 |
| Practice phone | 760-218-7717 |
| Enumerated | November 12, 2013 |
| Last updated | August 18, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical | 103TC0700X | 1236 (NM) |
| Psychologist, Clinical | 103TC0700X | 3951 (AZ) |
| Psychologist, Clinical primary | 103TC0700X | 21994 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.