Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHEILA FORMAN, PHD

Active Sole Proprietor

Clinical Psychologist · SANTA MONICA, CA

Registration Details

NPI Number: 1235418070
Provider Type: Individual
Gender: Female
NPI Issued: Aug 10, 2011 (14.760637409845 yrs)
Last Updated: Aug 10, 2011
License: PSY15265 (CA)
Sole Proprietor: Yes

Practice Information

Address: 2730 WILSHIRE BLVD

SUITE 620

SANTA MONICA, CA, 904034743
Browse CA providers · Browse ZIP 90403
Phone: 3108288004
Fax: 3108286536
Primary Specialty: Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in SANTA MONICA, CA

Name	Credential	NPI
DR. ELAYNE ROSOFF	PH.D.	1124014477
DR. MICHAEL DAVID GREENWALD	PH.D.	1104814706
DR. PAUL A BOYLE	PH.D.	1962455246
DR. MARIANN HYBELS MILLER	PH.D.	1205860830
DR. CAROLYN B. SHADDUCK	PH.D., PSY.D.	1891710125
DR. WILLIAM MILLER	PH.D.	1437170248

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.