Provider Demographics
NPI:1598146813
Name:ALISON C. SCHUR, PSYD, A PSYCHOLOGICAL CORP.
Entity Type:Organization
Organization Name:ALISON C. SCHUR, PSYD, A PSYCHOLOGICAL CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCHUR
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:310-738-5445
Mailing Address - Street 1:10305 WALAVISTA RD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-4702
Mailing Address - Country:US
Mailing Address - Phone:310-738-5445
Mailing Address - Fax:
Practice Address - Street 1:10305 WALAVISTA RD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-4702
Practice Address - Country:US
Practice Address - Phone:310-738-5445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-11
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY20971103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty