DR. ELIZABETH SHANNON WELLFORD-MAGNIS


Address: 905 Milwood Ave, Venice, CA 90291-3832
Phone: 3109681924

DR. ELIZABETH SHANNON WELLFORD-MAGNIS (NPI# 1588020192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588020192
Entity Type Individual
Full Name DR. ELIZABETH SHANNON WELLFORD-MAGNIS
Credential PHD
Practice Address 905 Milwood Ave
Venice
CA 90291-3832
Practice Telephone 3109681924
Mailing Telephone 3109681924
Enumeration Date 2016-01-12
Last Update Date 2016-01-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
27909 CA Behavioral Health & Social Service Providers

Office Location

Street Address 905 MILWOOD AVE
City VENICE
State CA
Zip Code 90291-3832

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033629837 Dylan Booth Dentist 601 Vernon Ave, Venice, CA 90291 2017-10-05
1467979500 Linda Sittler Registered Nurse 1025 Palms Ave, Venice, CA 90291 2017-08-29
1003218660 Patricia Guadalupe Rivas Counselor 717 Lincoln Blvd., Venice, CA 90291 2014-09-25
1497016877 Carrie Lynn Kowalski Physician Assistant 604 Rose Avenue, Venice, CA 90291 2012-06-02
1821364761 Cheryl Lynn Perkins Nutritionist 215 Culver Boulevard, # 5203, Playa Del Rey, CA 90291 2012-03-26
1629391875 James L. Hoff Optometrist 1636 Abbot Kinney Blvd., Venice, CA 90291 2010-03-02
1720315096 Kristen Nicol Leishman Counselor 911 Coeur D'alene Ave, Venice, CA 90291 2009-11-06
1922237882 David Anthony Garcia Physician Assistant 15031 Rinaldi St., Providence Holy Cross Medical Center Ed, Mission Hills, CA 90291 2009-07-13
1548411010 David Watts Acupuncturist 307 S. Robertson Blvd, Beverly Hills, CA 90291 2008-10-02
1184891699 Judy Alexander Voluntary or Charitable 204 Hampton Drive, St Joseph Center, Venice, CA 90291 2008-05-14
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831637685 Marie Louise Trgovac Psychologist 1765 Banyan Dr, Venice, FL 34293-1609 2017-02-01
1770999229 Jwthompson Group, LLC Psychologist 263 Royal Oak Way, Venice, FL 34292-3189 2014-07-05
1669693438 Caron Sue Post Psychologist 833 Amoroso Place, Venice, CA 90291-3901 2007-05-01
1245456037 Allan P. Hess Psychologist 477 Carroll Ave, Venice, CA 90291-4677 2007-04-18
1760544803 Patricia Jo Ryan Psychologist 1039 Us Highway 41 Byp S, Venice, FL 34285-4343 2006-12-14
1235189648 Jeffrey Alan Hirsch Psychologist 752 Flower, Venice, CA 90291-2727 2006-05-10
1992243745 Marie L. Trgovac Counseling, P.a. Psychologist 1765 Banyan Dr, Venice, FL 34293-1609 2017-02-01
1144763046 Julian Achim Psychologist 1531 Tamiami Trl S Ste 703, Venice, FL 34285-5569 2016-11-24
1023436987 Angela Steranko Psychologist 1505 Tamiami Trl S Ste 402, Venice, FL 34285-5563 2014-03-28
1639348188 Patricia Jo Ryan Phd Pa Psychologist 1039 Us Highway 41 Byp S, Venice, FL 34285-4343 2008-02-28
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Competitor

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City VENICE
Zip Code 90291

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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