Distefano, Charlotte

Distefano, Charlotte is an individual health care provider with primary practice located at 760 Westwood Plz # 48-240 , Los Angeles CA 90095-8353. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Distefano, Charlotte can be contacted via phone (310) 825-0586.

Contact Information

Primary practice address
760 Westwood Plz # 48-240 Los Angeles CA 90095-8353
Phone: (310) 825-0586
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X PSY29280 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY29280 California

Profile Details

NPI number 1679096101
LBN Legal business name Distefano, Charlotte
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2017
Last updated Jul 17th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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