| Dr. Movsesyan Therapy Services, Inc | |
|
1201 S Victory Blvd # 206 Burbank CA 91502-2552 | |
| (818) 281-2036 | |
| Not Available |
| Full Name | Dr. Movsesyan Therapy Services, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1201 S Victory Blvd # 206, Burbank, California |
| Authorized Official Name and Position | Hambartsum Jack Movsesyan (CEO) |
| Authorized Official Contact | 8184223439 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Movsesyan Therapy Services, Inc 1201 S Victory Blvd # 206 Burbank CA 91502-2552 Ph: (818) 422-3439 | Dr. Movsesyan Therapy Services, Inc 1201 S Victory Blvd # 206 Burbank CA 91502-2552 Ph: (818) 281-2036 |
| NPI Number | 1801487756 |
|---|---|
| Provider Enumeration Date | 02/02/2021 |
| Last Update Date | 02/11/2021 |
| Certification Date | 02/11/2021 |
| Medicare PECOS PAC ID | 6507274586 |
|---|---|
| Medicare Enrollment ID | O20210412000718 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801487756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Hambartsum Jack Movsesyan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336550631 PECOS PAC ID: 9638598055 Enrollment ID: I20201002002083 |
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