Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0700X | Adult Development & Aging Psychologist | 12001 | CA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 12001 | CA |
Y | 103G00000X | Clinical Psychologist | 12001 | CA |
Y | 103TC0700X | Clinical Psychologist | 12001 | CA |
N | 103TH0004X | Health Psychologist | 12001 | CA |
N | 103TH0100X | Health Service | 12001 | CA |
N | 103TP2701X | Group Psychotherapist | 12001 | CA |
N | 1041C0700X | Clinical Social Worker | 4278306170 | CA |
NPI | 1225239312 |
---|---|
Provider Name | Dr. Hanna Shira Chusid |
First Address | Woodland Hills, CA 91364-4432 |
Second Address | Woodland Hills, CA 91364-4432 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 10/04/2020 |