Healthcare Provider Details

I. General information

NPI: 1861342271
Provider Name (Legal Business Name): EMILY JANE DRINKWINE EDS, PPS, NCSP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2026
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2221 ARGONNE AVE
LONG BEACH CA
90815-2527
US

IV. Provider business mailing address

PO BOX 27
SUNSET BEACH CA
90742-0027
US

V. Phone/Fax

Practice location:
  • Phone: 714-928-4057
  • Fax:
Mailing address:
  • Phone: 714-928-4057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: