Individual
DR. BANAFSHE PATRICIA SHAROKHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., Q.M.E.
Contact information
Practice address
21031 VENTURA BLVD, SUITE 507, WOODLAND HILLS, CA 91364-2203
(818) 201-6194
(818) 340-1207
Mailing address
5333 BALBOA BLVD, APT. #134, ENCINO, CA 91316-2813
(818) 201-6194
(818) 340-1207
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 23369
CA
Other
Enumeration date
03/05/2010
Last updated
02/09/2012
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