| Sukiasyan Psychological Services Inc | |
|
1220 S Central Ave 205 Glendale CA 91204-2547 | |
| (818) 434-8002 | |
| Not Available |
| Full Name | Sukiasyan Psychological Services Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1220 S Central Ave, Glendale, California |
| Authorized Official Name and Position | Vahe Sukiasyan (PRESIDENT) |
| Authorized Official Contact | 8184348002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sukiasyan Psychological Services Inc 700 S 6th St 202 Burbank CA 91501-2512 Ph: (818) 434-8002 | Sukiasyan Psychological Services Inc 1220 S Central Ave 205 Glendale CA 91204-2547 Ph: (818) 434-8002 |
| NPI Number | 1548647100 |
|---|---|
| Provider Enumeration Date | 05/04/2015 |
| Last Update Date | 05/04/2015 |
| Medicare PECOS PAC ID | 3971819384 |
|---|---|
| Medicare Enrollment ID | O20150831002770 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548647100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY25500 (California) | Primary |
| Provider Name | Vahe Sukiasyan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982839437 PECOS PAC ID: 3375798796 Enrollment ID: I20150901003186 |
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