Provider Demographics
NPI:1366575946
Name:SHEIMAN, DEBORAH KAUFMAN (MS, MFT-INTERN)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:KAUFMAN
Last Name:SHEIMAN
Suffix:
Gender:F
Credentials:MS, MFT-INTERN
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:JANE
Other - Last Name:KAUFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:621 E OLIVE AVE
Mailing Address - Street 2:#104
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91501-3328
Mailing Address - Country:US
Mailing Address - Phone:818-848-6668
Mailing Address - Fax:
Practice Address - Street 1:7533 VAN NUYS BLVD
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-1949
Practice Address - Country:US
Practice Address - Phone:818-904-0707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45018106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist