Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 2012794 | CA |
Y | 103T00000X | Psychologist | 2012794 | CA |
N | 225C00000X | Rehabilitation Counselor |
NPI | 1306153879 |
---|---|
Provider Name | Dr. Niloufar Tahery |
First Address | Torrance, CA 90502-1100 |
Second Address | Torrance, CA 90502-1100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2010 |
Last Update Date | 22/06/2017 |