Provider Demographics
NPI:1992811095
Name:SKORKA, DARLENE MCDONALD (PHD)
Entity type:Individual
Prefix:DR
First Name:DARLENE
Middle Name:MCDONALD
Last Name:SKORKA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:DARLENE
Other - Middle Name:MCDONALD
Other - Last Name:HINER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:827 DEEP VALLEY DR
Mailing Address - Street 2:#309
Mailing Address - City:ROLLING HILLS ESTATES
Mailing Address - State:CA
Mailing Address - Zip Code:90274
Mailing Address - Country:US
Mailing Address - Phone:310-377-4264
Mailing Address - Fax:310-541-6370
Practice Address - Street 1:827 DEEP VALLEY DR
Practice Address - Street 2:#309
Practice Address - City:ROLLING HILLS ESTATES
Practice Address - State:CA
Practice Address - Zip Code:90274
Practice Address - Country:US
Practice Address - Phone:310-377-4264
Practice Address - Fax:310-541-6370
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 4373103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPSY 4373OtherCALIFORNIA LICENSE NO
CP4373Medicare ID - Type Unspecified