Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charlotte Distefano, PHD

Individual provider Intellectual & Developmental Disabilities Psychologist · NPI 1679096101

Charlotte Distefano, PHD is an Intellectual & Developmental Disabilities Psychologist in Los Angeles, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

760 Westwood Plz # 48-240
Los Angeles, CA 90095-8353
Phone: (310) 825-0586
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY29280 (CA)
Intellectual & Developmental Disabilities Psychologist Taxonomy 103TM1800X · Licence PSY29280 (CA)

Record details

NPI number1679096101
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 17, 2017
Last updated in NPPESJuly 17, 2017

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