MEDICARE: DR. MARIE CUGINI SCHUR PHD

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
1	103TC0700X	Clinical Psychologist	PSY 23998	CA
2	103T00000X	Psychologist	6755	NC

General Provider Information

NPI Number	:	1417254350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIE CUGINI SCHUR PHD

Provider Business Mailing Address
First Line	:	440 N BARRANCA AVE # 5633
Second Line	:
City	:	COVINA
State	:	CA
Zip	:	91723-1722
Country	:	US
Telephone Number	:	805-600-8281
Fax Number	:	877-836-4566

Provider Business Practice Location Address
First Line	:	669 QUINCY AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90814-1818
Country	:	US
Telephone Number	:	805-600-8281
Fax Number	:	877-836-4566

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2011
Last Update Date	:	09/20/2025

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