Individual
ANNA SHANAZARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3205 OCEAN PARK BLVD STE 250, SANTA MONICA, CA 90405-3239
(310) 488-5850
Mailing address
3205 OCEAN PARK BLVD STE 250, SANTA MONICA, CA 90405-3239
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY34760
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/13/2017
Last updated
12/22/2023
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