Provider Demographics
NPI:1811579915
Name:SHEFFER, MADISON ELIZABETH (AMFT)
Entity Type:Individual
Prefix:MISS
First Name:MADISON
Middle Name:ELIZABETH
Last Name:SHEFFER
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:MISS
Other - First Name:MADDIE
Other - Middle Name:
Other - Last Name:SHEFFER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AMFT
Mailing Address - Street 1:214 S MCCADDEN PL
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90004-1054
Mailing Address - Country:US
Mailing Address - Phone:832-444-9041
Mailing Address - Fax:
Practice Address - Street 1:9014 BURTON WAY
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-1618
Practice Address - Country:US
Practice Address - Phone:832-444-9041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-27
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist