Individual
INGA SIMONIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
14930 VENTURA BLVD STE 230, SHERMAN OAKS, CA 91403-3487
(818) 570-1636
(818) 698-6974
Mailing address
14930 VENTURA BLVD STE 230, SHERMAN OAKS, CA 91403-3487
(818) 570-1636
(818) 698-6974
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY25302
CA
103TC0700X
Clinical Psychologist
PSY25302
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992181143
—
CA
Enumeration date
11/15/2012
Last updated
05/26/2020
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