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Individual

DR. ELLEN SHIRMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
17525 VENTURA BLVD, STE 307, ENCINO, CA 91316-5159
(818) 995-4477
(818) 995-4171
Mailing address
17525 VENTURA BLVD, STE 307, ENCINO, CA 91316-5159
(818) 995-4477
(818) 995-4171

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY13806
CA
103T00000X
Psychologist
Primary
PSY13806
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PSY138060
CA
Enumeration date
11/13/2006
Last updated
03/24/2016
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