Healthcare Provider Details

I. General information

NPI: 1215214317
Provider Name (Legal Business Name): HILYA DELBAND PSY.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2011
Last Update Date: 11/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16530 VENTURA BLVD 510
ENCINO CA
91436-4554
US

IV. Provider business mailing address

16530 VENTURA BLVD 510
ENCINO CA
91436-4554
US

V. Phone/Fax

Practice location:
  • Phone: 818-501-4240
  • Fax: 818-501-0470
Mailing address:
  • Phone: 818-501-4240
  • Fax: 818-501-0470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY 24271
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: