Shahrzad Fozouni Siassi in Sherman Oaks - Psychologist
Shahrzad Fozouni Siassi - NPI 1891960944
Shahrzad Fozouni Siassi is a Psychologist in Sherman Oaks, California. Shahrzad Fozouni Siassi practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Shahrzad Fozouni Siassi is 1891960944. The last update date is 2012-08-28.
Shahrzad Fozouni Siassi's current location address is 15206 Ventura Blvd, Sherman Oaks, California. You can contact this provider via phone number 8189812923 and fax number 8189812923. The mailing address for Shahrzad Fozouni Siassi is 15206 Ventura Blvd, Sherman Oaks, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shahrzad Fozouni Siassi |
|---|---|
| Address | 15206 Ventura Blvd, Sherman Oaks, California |
| Phone Number | 8189812923 |
| Fax Number | 8189812923 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1891960944 |
|---|---|
| Provider Enumeration Date | 2008-04-29 |
| Last Updated Date | 2012-08-28 |
Provider Mailing Address Detail
| Address | 15206 Ventura Blvd |
|---|---|
| City | Sherman Oaks |
| State | California (CA) |
| Post Code | 91403 |
| Phone Number | 8189812923 |
| Fax Number | 8189812923 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY10724 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique 10-digit identifier code assigned to Shahrzad Fozouni Siassi by the Centers for Medicare & Medicaid Services?
The Shahrzad Fozouni Siassi has been issued the NPI (National Provider Identifier) 1891960944 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Shahrzad Fozouni Siassi's facilities are situated?
The facilities of Shahrzad Fozouni Siassi are physically located at the following address: 15206 Ventura Blvd, Sherman Oaks, CA, 91403.
What is Shahrzad Fozouni Siassi's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shahrzad Fozouni Siassi's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date did the Shahrzad Fozouni Siassi receive its 1891960944 assignment from the Centers for Medicare & Medicaid Services?
The Shahrzad Fozouni Siassi was assigned its 1891960944 by the Centers for Medicare & Medicaid Services on 2008-04-29.
When was the information regarding Shahrzad Fozouni Siassi most recently updated?
The details pertaining to the Shahrzad Fozouni Siassi, including its address, specialty, and other relevant information, were last refreshed on 2012-08-28.