Provider Demographics
NPI:1356569123
Name:SCHULMAN, MARION LOUISE (PHD)
Entity type:Individual
Prefix:
First Name:MARION
Middle Name:LOUISE
Last Name:SCHULMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 CASTLE HEIGHTS AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-1044
Mailing Address - Country:US
Mailing Address - Phone:310-277-4503
Mailing Address - Fax:
Practice Address - Street 1:2020 CASTLE HEIGHTS AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034-1044
Practice Address - Country:US
Practice Address - Phone:310-277-4503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 7818103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist