Provider Demographics
NPI:1346439676
Name:OSHITA, NORMA LETICIA (MS DEGREE)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:LETICIA
Last Name:OSHITA
Suffix:
Gender:F
Credentials:MS DEGREE
Other - Prefix:
Other - First Name:NORMA
Other - Middle Name:LETICIA
Other - Last Name:BARAJAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MASTERS DEGREE
Mailing Address - Street 1:1111 E TAHQUITZ CANYON WAY STE 117
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-6788
Mailing Address - Country:US
Mailing Address - Phone:760-972-6882
Mailing Address - Fax:760-320-3733
Practice Address - Street 1:1111 TAHQUITZ CANYON WAY SUITE 117
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-4880
Practice Address - Country:US
Practice Address - Phone:760-972-6882
Practice Address - Fax:760-320-3733
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-23
Last Update Date:2013-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF60108101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health