MEDICARE: JENNIFER ASHLEY HERSHFIELD 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	103TC2200X	Clinical Child & Adolescent Psychologist

General Provider Information

NPI Number	:	1801085816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER ASHLEY HERSHFIELD PH.D.

Provider Business Mailing Address
First Line	:	2801 OCEAN PARK BLVD # 396
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90405-2905
Country	:	US
Telephone Number	:	818-632-3202
Fax Number	:

Provider Business Practice Location Address
First Line	:	2801 OCEAN PARK BLVD # 396
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90405-2905
Country	:	US
Telephone Number	:	424-229-2646
Fax Number	:

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

Provider Enumeration Date	:	10/16/2007
Last Update Date	:	01/22/2026

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