Organization
FAMILY THERAPY LA PROFESSIONAL PSYCHOLOGY CORPORATION
Active
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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