Provider Demographics
NPI:1063866127
Name:SCHUREMAN, DANNIELLE AYRE (MA)
Entity Type:Individual
Prefix:MRS
First Name:DANNIELLE
Middle Name:AYRE
Last Name:SCHUREMAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 N GOLDEN CIRCLE DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3913
Mailing Address - Country:US
Mailing Address - Phone:714-543-0483
Mailing Address - Fax:714-543-0483
Practice Address - Street 1:501 N GOLDEN CIRCLE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-3913
Practice Address - Country:US
Practice Address - Phone:714-543-0483
Practice Address - Fax:714-543-0483
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-14
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA73074106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist