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NPI 1043996267

NPI 1043996267 : ASAL HOUSHIARNEJAD PSYCHOLOGY GROUP-PC : CALABASAS, CA

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General NPI Number Information
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    NPI Number           |    1043996267
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    Entity Type          |    Organization 
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    Legal Business Name  |    ASAL HOUSHIARNEJAD PSYCHOLOGY GROUP-PC 
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Dates
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    Enumeration Date     |    06/22/2023
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    Last Update Date     |    12/09/2025
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Provider Practice Location Address
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    Address Line         |    23632 CALABASAS RD STE 201 
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    City                 |    CALABASAS
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    State                |    CA
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    Zip                  |    91302-1737
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    Country              |    US
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    Telephone            |    424-209-4345
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    23632 CALABASAS RD STE 201 
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    City                 |    CALABASAS
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    State                |    CA
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    Zip                  |    91302-1737
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    Country              |    US
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    Telephone            |    424-209-4345
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CLINICAL NEUROPSYCHOLOGIST
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    Name                 |    DR. ASAL  HOUSHIARNEJAD 
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    Credential           |    PSYD
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    Telephone            |    424-209-4345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    103TB0200X
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    Taxonomy Name        |    Cognitive & Behavioral Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    103TC2200X
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    Taxonomy Name        |    Clinical Child & Adolescent Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    103G00000X
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    Taxonomy Name        |    Clinical Neuropsychologist
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    License Number       |    
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    License Number State |    
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