Individual
AZADEH FAMILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
150 E MEDA AVE STE 110, GLENDORA, CA 91741-2607
(626) 253-3149
(626) 857-9092
Mailing address
150 E MEDA AVE STE 110, GLENDORA, CA 91741-2607
(626) 253-3149
(626) 857-9092
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PSY16456
CA
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PSY16456
CA
103TF0200X
Forensic Psychologist
PSY16456
CA
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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