Fahnbulleh, Wiyatta

Fahnbulleh, Wiyatta is an individual health care provider with primary practice located at 10153 1/2 Riverside Dr Ste 440 , Toluca Lake CA 91602. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Fahnbulleh, Wiyatta can be contacted via phone (818) 505-9350.

Contact Information

Primary practice address
10153 1/2 Riverside Dr Ste 440 Toluca Lake CA 91602
Phone: (818) 505-9350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY28459 California

Profile Details

NPI number 1750690327
LBN Legal business name Fahnbulleh, Wiyatta
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2010
Last updated Feb 19th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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