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Individual

SUSAN HATHAZI MAHNOVSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
180 S LAKE AVE STE 615, PASADENA, CA 91101-4763
(310) 488-0329
Mailing address
180 S LAKE AVE STE 615, PASADENA, CA 91101-4763
(310) 488-0329

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95037483
CA

Other

Enumeration date
11/17/2025
Last updated
11/17/2025
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