MEDICARE: MRS. SHELLEY HALPERN C.HT.

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	101Y00000X	Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	E0267236	OTHER	CA	DRIVERS LICENSE

General Provider Information

NPI Number	:	1629316674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHELLEY HALPERN C.HT.

Provider Business Mailing Address
First Line	:	PO BOX 9356
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91372-9356
Country	:	US
Telephone Number	:	818-205-7271
Fax Number	:	818-704-8679

Provider Business Practice Location Address
First Line	:	18226 VENTURA BLVD STE 210
Second Line	:
City	:	TARZANA
State	:	CA
Zip	:	91356-4246
Country	:	US
Telephone Number	:	818-205-7271
Fax Number	:

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

Provider Enumeration Date	:	01/25/2013
Last Update Date	:	01/25/2013

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