Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PSY16606 | CA |
Y | 103T00000X | Psychologist | PSY16606 | CA |
N | 103G00000X | Clinical Psychologist | PSY16606 | CA |
N | 103TC0700X | Clinical Psychologist | PSY16606 | CA |
N | 103TH0100X | Health Service | PSY16606 | CA |
NPI | 1548364011 |
---|---|
Provider Name | Dr. Nora I Sahakian |
First Address | Pacific Palisades, CA 90272-2336 |
Second Address | Glendale, CA 91203-2641 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2006 |
Last Update Date | 07/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P19564 | (02) |