Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | MFCC33018 | CA |
NPI | 1013082445 |
---|---|
Provider Name | Marcia Chapnick |
First Address | Sherman Oaks, CA 91403-2201 |
Second Address | Sherman Oaks, CA 91403-2201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 08/07/2007 |