Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
Y | 103TH0004X | Health Psychologist |
NPI | 1144985946 |
---|---|
Provider Name | Dr. Serena Bezdjian |
First Address | Oak Park, CA 91377-1051 |
Second Address | Oxnard, CA 93036-2612 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2021 |
Last Update Date | 05/11/2021 |