Healthcare Provider Details

I. General information

NPI: 1073906673
Provider Name (Legal Business Name): NARINEH HARTOONIAN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2015
Last Update Date: 03/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E OLIVE AVE STE 540
BURBANK CA
91501-2132
US

IV. Provider business mailing address

500 E OLIVE AVE STE 540
BURBANK CA
91501-2132
US

V. Phone/Fax

Practice location:
  • Phone: 818-446-2522
  • Fax:
Mailing address:
  • Phone: 818-446-2522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY26980
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: