Individual
DR. JOANNA CATHERINE STAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., M.S.
Contact information
Practice address
18646 OXNARD ST, TARZANA, CA 91356-1411
(818) 996-1051
Mailing address
22543 VENTURA BLVD STE 220 PMB1015, WOODLAND HILLS, CA 91364
(747) 263-8551
(818) 345-6402
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY30834
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952685828
—
CA
Enumeration date
10/10/2011
Last updated
04/02/2020
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