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Contact Information

CHARLOTTE DISTEFANO, PHD
760 WESTWOOD PLZ # 48-240
LOS ANGELES, CA90095-8353
 Phone: 310-825-0586
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CHARLOTTE DISTEFANO · (Female)

NPI # 1679096101
Status Active
Credentials PHD
Entity Individual
Enumeration date 07/17/2017
Last updated 07/17/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PSY29280
Hospital affiliation(s) Not Available
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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