| Doctor Name: | IVAN WEST GREENSPAN |
| NPI Number: | 1013154301 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | PSY18686 |
| Business Practice Address: | 4849 Van Nuys Blvd Sherman Oaks, CA - 914032110 |
| Business Phone Number: | 8189703172 |
| Business Fax Number: | |
| Mailing Address: | 6022 Evenhaim Ln, TARZANA |
| State: | CA |
| Postal Code: | 913561162 |
| Phone Number: | 8189703172 |
| Fax Number: | |
| NPI Enumeration Date: | 01/08/2009 |
| NPI Last Update Date: | 01/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY18686 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |