Individual
DR. EDDEN AGONAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3855 LILAC CANYON LN, ALTADENA, CA 91001-3870
(254) 214-9431
Mailing address
3855 LILAC CANYON LN, ALTADENA, CA 91001-3870
(254) 214-9431
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31122
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2016
Last updated
04/20/2022
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