Doctor Name: | ORLY SAGHIAN |
NPI Number: | 1033133715 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD |
License Number: | PSY20728 |
Business Practice Address: | 16055 Ventura Blvd Ste 1020 Encino, CA - 914362611 |
Business Phone Number: | 8184191442 |
Business Fax Number: | 8185016373 |
Mailing Address: | 4647 Willis Ave, Ste 207 SHERMAN OAKS |
State: | CA |
Postal Code: | 914032620 |
Phone Number: | 8185016373 |
Fax Number: | 8185016373 |
NPI Enumeration Date: | 07/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TA0400X |
License Number: | PSY20728 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |