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General NPI Number Information
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NPI Number | 1710313812
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Entity Type | Organization
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Legal Business Name | CENTRAL PSYCHOLOGICAL SERVICES INC
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Dates
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Enumeration Date | 09/20/2013
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Last Update Date | 09/20/2013
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Provider Practice Location Address
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Address Line | 16311 VENTURA BLVD STE 977
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City | ENCINO
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State | CA
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Zip | 91436-4331
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Country | US
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Telephone | 818-501-4710
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Fax | 818-501-4720
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Provider Business Mailing Address
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Address Line | PO BOX 55428
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City | SHERMAN OAKS
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State | CA
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Zip | 91413-0428
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Country | US
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Telephone | 818-501-4710
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Fax | 818-501-4720
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST/CEO
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Name | DR. ZARA ASHIKYAN
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Credential | PH.D.
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Telephone | 818-501-4710
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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 | PSY21081
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License Number State | CA
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