Individual
DR. ANAHITA GHEYTANCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2035 WESTWOOD BLVD, SUITE 208, LOS ANGELES, CA 90025-6332
(323) 270-1083
Mailing address
2035 WESTWOOD BLVD STE 208, LOS ANGELES, CA 90025-6342
(310) 709-3073
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
PSY25467
CA
103TC0700X
Clinical Psychologist
Primary
PSY25467
CA
Other
Enumeration date
02/22/2011
Last updated
08/09/2016
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