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NPI Code Detail

MEDICARE: DR. CYDNEY SHINDEL PSYD

MEDICARE: DR. CYDNEY SHINDEL PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist30436CA

General Provider Information

NPI Number : 1235437658
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CYDNEY SHINDEL PSYD
Provider Business Mailing Address
First Line : 12337 SEAL BEACH BLVD # 1058
Second Line :
City : SEAL BEACH
State : CA
Zip : 90740-2708
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2834 COLORADO AVE
Second Line :
City : SANTA MONICA
State : CA
Zip : 90404-3631
Country : US
Telephone Number : 657-443-3789
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2011
Last Update Date : 12/28/2023

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