Shirman, Ellen

Shirman, Ellen is an sole proprietor health care provider with primary practice located at 17525 Ventura Blvd Ste 307, Encino CA 91316-5159. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Shirman, Ellen can be contacted via phone (818) 995-4477.

Contact Information

Primary practice address
17525 Ventura Blvd Ste 307 Encino CA 91316-5159
Fax: (818) 995-4171
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY13806 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY13806 California

Profile Details

NPI number 1568533560
LBN Legal business name Shirman, Ellen
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2006
Last updated Mar 24th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568533560 NPPES
California MEDICAID PSY138060

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