MEDICARE: DR. SARA ALLISON PARELMAN PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PSY6753	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PSY6753	OTHER	CA	CALIF LIC

General Provider Information

NPI Number	:	1548485717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARA ALLISON PARELMAN PH.D.

Provider Business Mailing Address
First Line	:	2444 WILSHIRE BLVD
Second Line	:	SUITE 502
City	:	SANTA MONICA
State	:	CA
Zip	:	90403-5809
Country	:	US
Telephone Number	:	310-586-6990
Fax Number	:

Provider Business Practice Location Address
First Line	:	2444 WILSHIRE BLVD
Second Line	:	SUITE 502
City	:	SANTA MONICA
State	:	CA
Zip	:	90403-5809
Country	:	US
Telephone Number	:	310-586-6990
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2007
Last Update Date	:	05/03/2011

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