Healthcare Provider Details

I. General information

NPI: 1245406040
Provider Name (Legal Business Name): CYNTHIA E. LERMOND PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2008
Last Update Date: 05/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12214 RIVERSIDE DR
STUDIO CITY CA
91607-3830
US

IV. Provider business mailing address

5349 NEWCASTLE AVE #60
ENCINO CA
91316-3083
US

V. Phone/Fax

Practice location:
  • Phone: 949-813-5604
  • Fax:
Mailing address:
  • Phone: 949-813-5604
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY20016
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: