Individual
ENAS ELSHIWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.,MFT
Contact information
Practice address
2721 E COAST HWY, CORONA DEL MAR, CA 92625-2131
(949) 456-0146
Mailing address
PO BOX 6403, LAGUNA NIGUEL, CA 92607-6403
(949) 456-0146
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY20241
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY20241
LICENSE
CA
Enumeration date
02/14/2006
Last updated
01/03/2013
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