Alexandra Lillian Kussin-Shoptaw, PHD Valid NPI

Individual provider · Clinical Psychologist · Sherman Oaks, CA

NPI

1588952055

Type

Individual (Type 1)

Primary specialty

Clinical Psychologist (Psychologist)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103TC0700X

License number

PSY30547 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2011-07-18

Last updated

2021-07-01