Provider Demographics
NPI:1487987343
Name:SCHEIDEGGER, SUMMER (PHD)
Entity type:Individual
Prefix:DR
First Name:SUMMER
Middle Name:
Last Name:SCHEIDEGGER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7304 BEVERLY BLVD STE 215
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-2535
Mailing Address - Country:US
Mailing Address - Phone:714-401-7503
Mailing Address - Fax:
Practice Address - Street 1:5757 WILSHIRE BLVD STE 439
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-3628
Practice Address - Country:US
Practice Address - Phone:310-651-8969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-10
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY33302103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical