Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | PSY24494 | CA |
N | 103T00000X | Psychologist | PSY24494 | CA |
N | 103K00000X | Behavior Analyst | PSY24494 | CA |
Y | 102L00000X | Psychologist | PSY24494 | CA |
Y | 103T00000X | Psychologist | PSY24494 | CA |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | PSY24494 | CA |
N | 103TA0700X | Adult Development & Aging Psychologist | PSY24494 | CA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | PSY24494 | CA |
N | 103G00000X | Clinical Psychologist | PSY24494 | CA |
N | 103TC0700X | Clinical Psychologist | PSY24494 | CA |
N | 103TC1900X | Counseling Psychologist | PSY24494 | CA |
N | 103TE1100X | Exercise & Sports Psychologist | PSY24494 | CA |
N | 103TF0000X | Family Psychologist | PSY24494 | CA |
N | 103TH0004X | Health Psychologist | PSY24494 | CA |
N | 103TM1800X | Intellectual & Developmental Disabilities | PSY24494 | CA |
N | 103TP2701X | Group Psychotherapist | PSY24494 | CA |
N | 103TR0400X | Rehabilitation Psychologist | PSY24494 | CA |
N | 103TS0200X | School Psychologist | PSY24494 | CA |
NPI | 1437453701 |
---|---|
Provider Name | Dr. Sheryl Monaughan |
First Address | Culver City, CA 90230-4933 |
Second Address | Los Angeles, CA 90024-3940 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2010 |
Last Update Date | 10/12/2011 |