MARILYN A SHORE, PHD - NPI NUMBER 1598844847
Provider Name: MARILYN A SHORE, PHD
NPI Number: 1598844847
Clasification: Psychologist (103T00000X)
2659 TOWNSGATE ROAD
WESTLAKE VILLAGE, CA
Phone Number: (805) 494-1484
Marilyn A Shore, PHD is a psychologist in Westlake Village, CA with 30 years of experience. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. The assigned NPI number for this provider is 1598844847 and is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business address is:
2659 TOWNSGATE ROAD
WESTLAKE VILLAGE, CA
Phone: (805) 494-1484
Fax: (805) 494-9677
The enumeration date for this NPI number is 11/6/2006 and was last updated on 7/8/2007.
Map - Location of Practice
||DR. GENINE IVY HANIN, ED.D.
||DR. HOLLY GARCIA O'HEARN, PH.D.
||DR. IRAJ BROOMAND, PH.D.
||LESTER SUMMERFIELD AND ASSOCIATES, A PSYCHOLOGICAL CORPORATION
||DR. MARCIA GINGER LAMM, PHD QME
||MRS. SUZANNE MARY CORWIN, LEP
||MR. JEFFREY ALAN MILMAN, PH.D.
The following information regarding the scope of practice of this provider is available:
Other (Legacy) Identifiers
The following legacy identifiers are available for this provider:
||MEDICARE ID-TYPE UNSPECIFIED
||Entity Type Code
||Provider Last Name Legal Name
||Provider First Name
||Provider Middle Name
||Provider Credential Text
||Provider First Line Business Practice Location Address
||2659 TOWNSGATE ROAD
||Provider Second Line Business Practice Location Address
||Provider Business Practice Location Address City Name
||Provider Business Practice Location Address State Name
||Provider Business Practice Location Address Postal Code
||Provider Business Practice Location Address Country Code If outside U S
||Provider Business Practice Location Address Telephone Number
||Provider Business Practice Location Address Fax Number
||Provider Enumeration Date
||Last Update Date
||Provider Gender Code
||Healthcare Provider Taxonomy Code 1
||Provider License Number 1
||Provider License Number State Code 1
||Healthcare Provider Primary Taxonomy Switch 1
||Other Provider Identifier 1
||Other Provider Identifier Type Code 1
||Other Provider Identifier 2
||Other Provider Identifier Type Code 2
||Other Provider Identifier State 2
||Is Sole Proprietor
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This page was last updated on: 2/10/2015
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