Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
Y | 103G00000X | Clinical Psychologist | PSY27180 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY27180 | CA |
N | 225C00000X | Rehabilitation Counselor | ||
N | 225C00000X | Rehabilitation Counselor | CA |
NPI | 1013146646 |
---|---|
Provider Name | Dr. Christine Pourandrias |
First Address | Glendale, CA 91203-2531 |
Second Address | Glendale, CA 91203-2531 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2009 |
Last Update Date | 26/06/2015 |