Individual
TJARI PACKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14500 SHERMAN CIR APT 406, VAN NUYS, CA 91405-6272
(559) 392-6167
Mailing address
14500 SHERMAN CIR APT 406, VAN NUYS, CA 91405-6272
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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