Individual
DR. EHSAN GHARADJEDAGHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
17900 SKY PARK CIR, 103, IRVINE, CA 92614-6436
(949) 510-1321
Mailing address
17900 SKY PARK CIR, 103, IRVINE, CA 92614-6436
(949) 510-1321
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY25155
CA
103TC1900X
Counseling Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
11/01/2006
Last updated
01/03/2013
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