Organization
FAMILY THERAPY LA PROFESSIONAL PSYCHOLOGY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BITA NAZARIAN PSYD (OWNER)
(818) 512-2172
Entity
Organization
Contact information
Practice address
14540 VICTORY BLVD STE 101, VAN NUYS, CA 91411-1697
(818) 512-2172
Mailing address
14540 VICTORY BLVD STE 101, VAN NUYS, CA 91411-1697
(818) 512-2172
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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