Doctor Name: | BAHAREH TALEI |
NPI Number: | 1083845564 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | |
Business Practice Address: | 4505 Las Virgenes Rd 217 Calabasas, CA - 913021956 |
Business Phone Number: | 8183070741 |
Business Fax Number: | |
Mailing Address: | 26500 Agoura Rd, 102-401 CALABASAS |
State: | CA |
Postal Code: | 913021952 |
Phone Number: | 8183070741 |
Fax Number: | |
NPI Enumeration Date: | 08/02/2009 |
NPI Last Update Date: | 08/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TM1800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Mental Retardation & Developmental Disabilities |
Taxonomy Definition: |