Healthcare Provider Details

I. General information

NPI: 1437341500
Provider Name (Legal Business Name): AILEEN ARRATOONIAN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2007
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 W SIERRA MADRE BLVD
SIERRA MADRE CA
91024-2462
US

IV. Provider business mailing address

71 W SIERRA MADRE BLVD
SIERRA MADRE CA
91024-2462
US

V. Phone/Fax

Practice location:
  • Phone: 626-547-4927
  • Fax:
Mailing address:
  • Phone: 626-547-4927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY26340
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPSY26340
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number26340
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number26340
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: