Healthcare Provider Details

I. General information

NPI: 1326650201
Provider Name (Legal Business Name): DHRITI TIWARI FOLMSBEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2020
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9461 CHARLEVILLE BLVD # 785
BEVERLY HILLS CA
90212-3017
US

IV. Provider business mailing address

9461 CHARLEVILLE BLVD # 785
BEVERLY HILLS CA
90212-3017
US

V. Phone/Fax

Practice location:
  • Phone: 310-929-9593
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY33918
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: