Provider Demographics
NPI:1457168031
Name:SHIKLER, CLIFFORD M
Entity type:Individual
Prefix:
First Name:CLIFFORD
Middle Name:M
Last Name:SHIKLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5534 W 140TH ST
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-6404
Mailing Address - Country:US
Mailing Address - Phone:917-392-0038
Mailing Address - Fax:
Practice Address - Street 1:5534 W 140TH ST
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-6404
Practice Address - Country:US
Practice Address - Phone:917-392-0038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)