Individual
DR. GABRIELLA AZZAM-FORNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
10780 SANTA MONICA BLVD STE 290, LOS ANGELES, CA 90025-4777
(424) 341-4224
Mailing address
10780 SANTA MONICA BLVD STE 290, LOS ANGELES, CA 90025-4777
(424) 341-4224
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
024328
NY
103TC0700X
Clinical Psychologist
40000
TX
103TC0700X
Clinical Psychologist
Primary
PSY29357
CA
Other
Enumeration date
06/16/2014
Last updated
01/24/2024
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