Individual
MIKE TAMASSIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1101 N PACIFIC AVE, 204, GLENDALE, CA 91202-3250
(818) 396-5343
Mailing address
1101 N PACIFIC AVE, 204, GLENDALE, CA 91202-3250
(818) 396-5343
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PSY19694
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00CP196940
—
CA
Enumeration date
11/08/2006
Last updated
01/20/2017
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