Individual
FARAH PEZESHKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
529 S MAPLE AVE, LOS ANGELES, CA 90013-6003
(213) 430-6700
(310) 482-6662
Mailing address
9947 1/2 DURANT DRIVE, BEVERLY HILLS, CA 90212-5704
(310) 997-8801
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
14875
CA
Other
Enumeration date
10/23/2006
Last updated
08/05/2013
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