Provider Demographics
NPI:1851551006
Name:BIRMAN, NATALIE PAIGE (PHD)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:PAIGE
Last Name:BIRMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:NATALIE
Other - Middle Name:PAIGE
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:10820 BEVERLY BLVD., STE A5 #1009
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-2570
Mailing Address - Country:US
Mailing Address - Phone:562-656-0559
Mailing Address - Fax:
Practice Address - Street 1:1500 S MCDONNELL AVE
Practice Address - Street 2:
Practice Address - City:COMMERCE
Practice Address - State:CA
Practice Address - Zip Code:90040-5623
Practice Address - Country:US
Practice Address - Phone:562-656-0559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-11
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY16637103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist