Individual provider · Type 1 NPI
Charlotte Distefano, PhD
Clinical Psychologist · Los Angeles, CA
Practice location
760 Westwood Plz # 48-240
Los Angeles, CA 90095-8353
Mailing address
760 Westwood Plz # A7-461
Los Angeles, CA 90095-8353
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | PSY29280 (CA) |
| Clinical Psychologist Primary | 103TC0700X | PSY29280 (CA) |
Clinical Psychologist: 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 discip…
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About NPI 1679096101
Charlotte Distefano, PhD's National Provider Identifier is 1679096101, issued on Jul 17, 2017. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 17, 2017.