Individual
DR. MIRIAM ELISE SHENFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
260 S LOS ROBLES AVE, STE 102, PASADENA, CA 91101-2824
(818) 952-9400
Mailing address
5014 COMMONWEALTH AVE, LA CANADA, CA 91011-2402
(818) 952-9400
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY9921
CA
103TC0700X
Clinical Psychologist
PSY9921
CA
261Q00000X
Clinic/Center
Primary
PSY9921
CA
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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