Provider Demographics
NPI:1851832778
Name:SCHONFELD, AMY MICHELE (PHD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:MICHELE
Last Name:SCHONFELD
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:MPAC UCLA SEMEL INSTITUTE
Mailing Address - Street 2:760 WESTWOOD PLAZA C8-749
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-0001
Mailing Address - Country:US
Mailing Address - Phone:818-465-8120
Mailing Address - Fax:
Practice Address - Street 1:MPAC UCLA SEMEL INSTITUTE
Practice Address - Street 2:760 WESTWOOD PLAZA C8-749
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-0001
Practice Address - Country:US
Practice Address - Phone:818-465-8120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-10
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20434103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist