Organization
DEPTH PSYCHOTHERAPY CENTER A PROFESSIONAL PSYCHOLOGICAL CORPORA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERRI MAHDAVI PHD (OWNER)
(949) 422-4488
Entity
Organization
Contact information
Practice address
4199 CAMPUS DR., SUITE 550, IRVINE, CA 92612
(949) 422-4488
(949) 640-2255
Mailing address
750 TERRADO PLZ, SUITE 40, COVINA, CA 91723
(626) 332-0556
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY21506
CA
Other
Enumeration date
09/08/2010
Last updated
07/01/2020
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