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General NPI Number Information
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NPI Number | 1659927994
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Entity Type | Individual
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Provider Name | YEVA GHRJYAN PSYD
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Gender | Female
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Dates
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Enumeration Date | 08/13/2019
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 11022 SANTA MONICA BLVD STE 270
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City | LOS ANGELES
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State | CA
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Zip | 90025-7566
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Country | US
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Telephone | 323-545-6616
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Fax |
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Provider Business Mailing Address
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Address Line | 9756 ORCAS AVE
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City | SUNLAND
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State | CA
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Zip | 91040-1332
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Country | US
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Telephone | 818-599-5994
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PSY35628
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License Number State | CA
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