Individual
MS. SHRUTI SHANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAP, MA AMFT
Contact information
Practice address
934 HERMOSA AVE STE 11, HERMOSA BEACH, CA 90254-4122
(310) 957-2122
Mailing address
828 6TH ST APT 8, SANTA MONICA, CA 90403-1415
(424) 341-5193
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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