Provider Demographics
NPI:1326399452
Name:WEST, SHILOH APRILIA (PSYD)
Entity type:Individual
Prefix:
First Name:SHILOH
Middle Name:APRILIA
Last Name:WEST
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:SHILOH
Other - Middle Name:APRILIA
Other - Last Name:WEST
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:1460 7TH ST STE 300
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90401-2632
Mailing Address - Country:US
Mailing Address - Phone:310-924-9249
Mailing Address - Fax:
Practice Address - Street 1:1460 7TH ST STE 300
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90401-2632
Practice Address - Country:US
Practice Address - Phone:310-924-9249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-28
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSB94022279103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist