Shahram Ardalan is a Clinical in Sacramento, California. Shahram Ardalan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shahram Ardalan is 1184691073. The last update date is 2007-07-08.
Shahram Ardalan's current location address is 1620 Executive Ct, Sacramento, California. You can contact this provider via phone number 9169228050 and fax number 9169770550. The mailing address for Shahram Ardalan is 1620 Executive Ct, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shahram Ardalan |
|---|---|
| Address | 1620 Executive Ct, Sacramento, California |
| Phone Number | 9169228050 |
| Fax Number | 9169770550 |
| Sole Proprietor | X |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1184691073 |
|---|---|
| Provider Enumeration Date | 2006-03-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1620 Executive Ct |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958642608 |
| Phone Number | 9169228050 |
| Fax Number | 9169770550 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY15907 |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Shahram Ardalan by the Centers for Medicare & Medicaid Services?
The Shahram Ardalan has been issued the NPI (National Provider Identifier) 1184691073, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Shahram Ardalan's facilities are geographically located?
The facilities of Shahram Ardalan are physically situated at the following location: 1620 Executive Ct, Sacramento, CA, 958642608.
What is Shahram Ardalan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shahram Ardalan is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Shahram Ardalan receive its 1184691073 assignment from the Centers for Medicare & Medicaid Services?
The Shahram Ardalan was assigned its 1184691073 by the Centers for Medicare & Medicaid Services on 2006-03-01.
When was the Shahram Ardalan's information last updated?
The Shahram Ardalan's information was last updated on 2007-07-08.