Provider Demographics
NPI:1376132530
Name:ALLISON, SHEREEN F (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHEREEN
Middle Name:F
Last Name:ALLISON
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 1:22514 FRIAR ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-1715
Mailing Address - Country:US
Mailing Address - Phone:818-415-4298
Mailing Address - Fax:
Practice Address - Street 1:22514 FRIAR ST
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-1715
Practice Address - Country:US
Practice Address - Phone:818-415-4298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool