Provider Demographics
NPI:1821085598
Name:KRASNOFF, SHEILA (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:
Last Name:KRASNOFF
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19921 WELLS DR
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-4725
Mailing Address - Country:US
Mailing Address - Phone:818-340-6980
Mailing Address - Fax:818-340-7107
Practice Address - Street 1:19921 WELLS DR
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-4725
Practice Address - Country:US
Practice Address - Phone:818-340-6980
Practice Address - Fax:818-340-7107
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-28
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY10939103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACP10939Medicare ID - Type UnspecifiedCLINICAL PSYCHOLOGIST