Individual
KHACHIK PETROSYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1225 OAKRIDGE DR, GLENDALE, CA 91205-3412
(818) 482-9117
Mailing address
1225 OAKRIDGE DR, GLENDALE, CA 91205-3412
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
—
—
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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