Provider Demographics
NPI:1396528022
Name:LILIA SHEYNMAN, PHD INC.,
Entity type:Organization
Organization Name:LILIA SHEYNMAN, PHD INC.,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEYNMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:562-246-6276
Mailing Address - Street 1:1426 E 68TH ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90805-1609
Mailing Address - Country:US
Mailing Address - Phone:818-300-7743
Mailing Address - Fax:
Practice Address - Street 1:4058 ORANGE AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-3717
Practice Address - Country:US
Practice Address - Phone:562-246-6276
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-16
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty