Provider Demographics
NPI:1477682961
Name:ELSWOOD, ARTHUR ROBERT (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:ROBERT
Last Name:ELSWOOD
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8060 MELROSE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90046-7037
Mailing Address - Country:US
Mailing Address - Phone:310-721-1452
Mailing Address - Fax:310-734-7841
Practice Address - Street 1:8060 MELROSE AVE STE 200
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90046-7037
Practice Address - Country:US
Practice Address - Phone:310-721-1452
Practice Address - Fax:310-734-7841
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17853103TC0700X
CAPSY17853103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA17853OtherLICENSE NUMBER