Individual
FERESHTEH DALAVARIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1500 E KATELLA AVE, SUITE D, ORANGE, CA 92867-5008
(714) 588-8745
Mailing address
1500 E KATELLA AVE, SUITE D, ORANGE, CA 92867-5008
(714) 588-8745
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY16077
CA
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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