| Organization Name: | SHANI HABIBI PHD INC A PSYCHOLOGICAL CORPORATION |
| NPI Number: | 1083079586 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHAGHAYEGH 'SHANI' HABIBI (PSYCHOLOGIST) |
| Mailing Address: | 11026 Ventura Blvd 12 Studio City |
| State: | CA US |
| Postal Code: | 916043566 |
| Phone Number: | 3235104945 |
| Fax Number: | |
| NPI Enumeration Date: | 12/28/2015 |
| NPI Last Update Date: | 12/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 26779 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |