Provider Demographics
NPI:1649419615
Name:SCHUR, ALISON C (PSYD)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:C
Last Name:SCHUR
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:310-815-1707
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:310-815-1707
Is Sole Proprietor?:No
Enumeration Date:2009-02-13
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY20971103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical