| Anett Abrahamian Assilian Psyd | |
|
18917 Nordhoff St Ste 18 Northridge CA 91324-4823 | |
| (818) 419-9341 | |
| Not Available |
| Full Name | Anett Abrahamian Assilian Psyd |
|---|---|
| Speciality | Psychologist |
| Location | 18917 Nordhoff St Ste 18, Northridge, California |
| Authorized Official Name and Position | Anett Abrahamian Assilian (PSYCHOLOGIST) |
| Authorized Official Contact | 8184199341 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anett Abrahamian Assilian Psyd 18917 Nordhoff St Ste 18 Northridge CA 91324-4823 Ph: (818) 419-9341 | Anett Abrahamian Assilian Psyd 18917 Nordhoff St Ste 18 Northridge CA 91324-4823 Ph: (818) 419-9341 |
| NPI Number | 1114302189 |
|---|---|
| Provider Enumeration Date | 07/20/2015 |
| Last Update Date | 11/30/2022 |
| Certification Date | 11/30/2022 |
| Medicare PECOS PAC ID | 4789992249 |
|---|---|
| Medicare Enrollment ID | O20151001002985 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114302189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY27128 (California) | Primary |
| Provider Name | Anett A Assilian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154452332 PECOS PAC ID: 1658681614 Enrollment ID: I20151109001046 |
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