Healthcare Provider Details

I. General information

NPI: 1992811095
Provider Name (Legal Business Name): DARLENE MCDONALD SKORKA PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DARLENE MCDONALD HINER PHD

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

827 DEEP VALLEY DR #309
ROLLING HILLS ESTATES CA
90274
US

IV. Provider business mailing address

827 DEEP VALLEY DR #309
ROLLING HILLS ESTATES CA
90274
US

V. Phone/Fax

Practice location:
  • Phone: 310-377-4264
  • Fax: 310-541-6370
Mailing address:
  • Phone: 310-377-4264
  • Fax: 310-541-6370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY 4373
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: