Shirley Oberst Kauffman, PHD
Individual provider Active NPI Marriage & Family Therapist · Agoura, CA
NPI 1508884677 · NPPES record last updated May 28, 2015
Key facts
- NPI
- 1508884677
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 31579 (CA)
- Practice address
- 28720 Canwood St Ste 204
Agoura, CA 91301-4505 - Phone
- (818) 631-6854
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31579 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 31579 | CA | Yes |
Addresses
Primary practice location
28720 Canwood St Ste 204
Agoura, CA 91301-4505
Mailing address
28720 Canwood St Ste 204
Agoura, CA 91301-4505
Phone (818) 631-6854
Other providers in Agoura, CA
- McLain Hess
- Hive of Hope
- Infinity Malibu Iop
- Sandy Kang
- Lisa Kappaz
- Melina Keshishian
- Denise C Kraus
- Stacey Lux
- Madison Marer
- Mikaela Martinez
All providers in Agoura, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.