| Doctor Name: | DR. TSOLINE KONIALIAN MATOSSIAN |
| NPI Number: | 1053361600 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY D |
| License Number: | PSY19955 |
| Business Practice Address: | 538 N Alta Vista Ave Monrovia, CA - 91016 |
| Business Phone Number: | 6263089760 |
| Business Fax Number: | |
| Mailing Address: | 750 Terrado Plaza, Ste 40, Physicians Billing & Consuling Service COVINA |
| State: | CA |
| Postal Code: | 91723 |
| Phone Number: | 6265242807 |
| Fax Number: | 6263596565 |
| NPI Enumeration Date: | 05/12/2006 |
| NPI Last Update Date: | 09/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY19955 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |