Healthcare Provider Details
I. General information
NPI: 1275909178
Provider Name (Legal Business Name): KATHERINE SHEU PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/13/2015
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
21151 S WESTERN AVE STE 273
TORRANCE CA
90501-1724
US
IV. Provider business mailing address
21151 S WESTERN AVE STE 273
TORRANCE CA
90501-1724
US
V. Phone/Fax
- Phone: 213-357-1638
- Fax:
- Phone: 213-357-1638
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225C00000X |
| Taxonomy | Rehabilitation Counselor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | PSY33338 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: