Healthcare Provider Details

I. General information

NPI: 1942386339
Provider Name (Legal Business Name): CATHERINE MARIE SCHIFRIN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1560 E CHEVY CHASE DR #130
GLENDALE CA
91206
US

IV. Provider business mailing address

1560 E CHEVY CHASE DR #130
GLENDALE CA
91206
US

V. Phone/Fax

Practice location:
  • Phone: 818-240-0340
  • Fax: 818-545-7672
Mailing address:
  • Phone: 818-240-0340
  • Fax: 818-545-7672

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY117188
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: