Individual
DEBORAH MATIAN SHOHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
11340 W OLYMPIC BLVD # 515, LOS ANGELES, CA 90064-1608
(424) 341-2104
Mailing address
16990 OAK VIEW DR, ENCINO, CA 91436-3242
(818) 915-6665
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
30162
CA
Other
Enumeration date
07/08/2014
Last updated
10/09/2018
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