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Individual
DR. KIYANOOSH SHAMLOU
Active
Individual
DR. KIYANOOSH SHAMLOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY26074
CA
103TC1900X
Counseling Psychologist
PSY26074
CA
103TF0000X
Family Psychologist
PSY26074
CA
103TP2701X
Group Psychotherapy Psychologist
PSY 26074
CA
Other
Enumeration date
01/16/2014
Last updated
03/25/2020
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