National Provider Identifier Database

CHARLOTTE DISTEFANO, PHD – NPI #1679096101
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

CHARLOTTE DISTEFANO, PHD
760 WESTWOOD PLZ # 48-240
LOS ANGELES, CA90095-8353
Phone: 310-825-0586
Fax:
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X
Intellectual & Developmental Disabilities 103TM1800X

* Indicates primary specialty

NPI Profile & details for CHARLOTTE DISTEFANO

NPI Number 1679096101
Credentials PHD
Entity Individual
Enumeration date 07/17/2017
Last updated 07/17/2017 - About 9 years ago
Sole proprietor1 No
Identifiers
  • CA License #: PSY29280
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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