Provider Demographics
NPI:1588795090
Name:ALBERT, SHINEY ELIZABETH
Entity type:Individual
Prefix:MS
First Name:SHINEY
Middle Name:ELIZABETH
Last Name:ALBERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14365 FOOTHILL BLVD.
Mailing Address - Street 2:UNIT 30
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342
Mailing Address - Country:US
Mailing Address - Phone:818-833-3183
Mailing Address - Fax:
Practice Address - Street 1:14365 FOOTHILL BLVD
Practice Address - Street 2:UNIT 30
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342-8011
Practice Address - Country:US
Practice Address - Phone:818-833-3183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor