Provider Demographics
NPI:1639364763
Name:SHILLING, AMBER L
Entity Type:Individual
Prefix:MISS
First Name:AMBER
Middle Name:L
Last Name:SHILLING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1531 TORRANCE BLVD
Mailing Address - Street 2:APT 1
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-1996
Mailing Address - Country:US
Mailing Address - Phone:760-885-9500
Mailing Address - Fax:
Practice Address - Street 1:1531 TORRANCE BLVD
Practice Address - Street 2:APT 1
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-1996
Practice Address - Country:US
Practice Address - Phone:760-885-9500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-12
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health