Healthcare Provider Details

I. General information

NPI: 1962642363
Provider Name (Legal Business Name): WINDOWS FOR HOPE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2009
Last Update Date: 02/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18345 VENTURA BLVD STE 314
TARZANA CA
91356-4242
US

IV. Provider business mailing address

18345 VENTURA BLVD STE 314
TARZANA CA
91356-4242
US

V. Phone/Fax

Practice location:
  • Phone: 818-344-6818
  • Fax: 818-344-6778
Mailing address:
  • Phone: 818-344-6818
  • Fax: 818-344-6778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY21541
License Number StateCA

VIII. Authorized Official

Name: SHIRIN NOORAVI
Title or Position: OWNER
Credential: PSYD
Phone: 818-344-6818