Healthcare Provider Details

I. General information

NPI: 1801346085
Provider Name (Legal Business Name): WILLIAM SCOTT WHELAN LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/11/2016
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 E COLORADO BLVD STE 508
PASADENA CA
91101-2017
US

IV. Provider business mailing address

595 E COLORADO BLVD STE 508
PASADENA CA
91101-2017
US

V. Phone/Fax

Practice location:
  • Phone: 562-322-5584
  • Fax:
Mailing address:
  • Phone: 562-322-5584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number162221
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: