Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | PSY20888 | CA |
Y | 103G00000X | Clinical Psychologist | PSY20888 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY20888 | CA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY20888 | CA |
NPI | 1235370354 |
---|---|
Provider Name | Andrea Rashtian |
First Address | Stevenson Ranch, CA 91381-2276 |
Second Address | Stevenson Ranch, CA 91381-2276 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2009 |
Last Update Date | 28/02/2014 |