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Individual

DR. FARIDEH FAZLIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
9300 WILSHIRE BLVD, STE #320, BEVERLY HILLS, CA 90212-3213
(310) 286-7277
Mailing address
9300 WILSHIRE BLVD, STE #320, BEVERLY HILLS, CA 90212-3213
(310) 286-7277

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY14142
CA

Other

Enumeration date
10/21/2012
Last updated
10/21/2012
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