Individual
DR. ARTYOM KHACHIKYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1023 N HOLLYWOOD WAY, BURBANK, CA 91505-2539
(424) 333-2933
Mailing address
PO BOX 7343, BURBANK, CA 91510-7343
(424) 333-2933
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
30616
CA
103TC0700X
Clinical Psychologist
Primary
30616
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184968422
—
CA
Enumeration date
11/26/2012
Last updated
07/23/2021
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