Individual
DR. FARRAH KHALEGHI AIZENMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
16861 VENTURA BLVD STE 303, ENCINO, CA 91436-1765
(310) 906-4937
Mailing address
PO BOX 24595, LOS ANGELES, CA 90024-0595
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
30483
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/12/2015
Last updated
06/21/2023
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