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Individual
SHIRIN GHANNADI
Active
Individual
SHIRIN GHANNADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
29323
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A777971
MEDICARE IN - TYPE UNSPECIFIED
CA
01
—
H59376
MEDICARE UPIN
CA
Enumeration date
09/24/2011
Last updated
07/21/2022
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