Shabanzadeh, Victoria
Shabanzadeh, Victoria is an sole proprietor health care provider with primary practice located at 6931 Van Nuys Blvd Suite 102, Van Nuys CA 91405-3937. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shabanzadeh, Victoria can be contacted via phone (818) 376-0134.Contact Information
Primary practice address
6931 Van Nuys Blvd Suite 102
Van Nuys CA 91405-3937
Phone: (818) 376-0134
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY18580 | California |
Profile Details
| NPI number | 1699808360 |
|---|---|
| LBN Legal business name | Shabanzadeh, Victoria |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Aug 30th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699808360 | NPPES |
| California | Other | STI9129 | PSYCHOLOGIST |
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