| NPI | 1275604274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN SHIRMAN Clinical Psychologist 818-995-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA Psy13806) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA Psy10973) |
| 103T00000X Psychologist (Licence: CA Psy13806) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |