Provider Demographics
NPI:1124341268
Name:DE MAGALHAES, SHIRLA (LMFT, RPT-S, RSP)
Entity type:Individual
Prefix:
First Name:SHIRLA
Middle Name:
Last Name:DE MAGALHAES
Suffix:
Gender:
Credentials:LMFT, RPT-S, RSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8453 LA MESA BLVD
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-5382
Mailing Address - Country:US
Mailing Address - Phone:619-797-6595
Mailing Address - Fax:888-975-4199
Practice Address - Street 1:8453 LA MESA BLVD
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-5382
Practice Address - Country:US
Practice Address - Phone:619-797-6595
Practice Address - Fax:888-975-4199
Is Sole Proprietor?:No
Enumeration Date:2010-03-03
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA82947106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist