Healthcare Provider Details
I. General information
NPI: 1417254350
Provider Name (Legal Business Name): MARIE CUGINI SCHUR PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/11/2011
Last Update Date: 09/20/2025
Certification Date: 09/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
669 QUINCY AVE
LONG BEACH CA
90814-1818
US
IV. Provider business mailing address
440 N BARRANCA AVE # 5633
COVINA CA
91723-1722
US
V. Phone/Fax
- Phone: 805-600-8281
- Fax: 877-836-4566
- Phone: 805-600-8281
- Fax: 877-836-4566
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | 6755 |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | PSY 23998 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: