Healthcare Provider Details

I. General information

NPI: 1831893270
Provider Name (Legal Business Name): CLAIRE PERRAULT PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 N CAMDEN DR STE 725
BEVERLY HILLS CA
90210-4543
US

IV. Provider business mailing address

414 N CAMDEN DR STE 725
BEVERLY HILLS CA
90210-4543
US

V. Phone/Fax

Practice location:
  • Phone: 424-235-7701
  • Fax:
Mailing address:
  • Phone: 424-235-7701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY36444
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: