Doctor Name: | DR. SHARON SALFAS |
NPI Number: | 1467568121 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | PSY 13859 |
Business Practice Address: | 11911 San Vicente Blvd Ste 240 La, CA - 90049 |
Business Phone Number: | 3104151539 |
Business Fax Number: | 3103982603 |
Mailing Address: | 3242 Barry Ave, LOS ANGELES |
State: | CA |
Postal Code: | 90066 |
Phone Number: | 3104151539 |
Fax Number: | 3103982603 |
NPI Enumeration Date: | 08/22/2006 |
NPI Last Update Date: | 08/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY 13859 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |