Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PSY10759 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY10759 | CA |
NPI | 1013137249 |
---|---|
Provider Name | Vivien Armalie Zighelboim |
First Address | Beverly Hills, CA 90212 |
Second Address | Beverly Hills, CA 90212 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2007 |
Last Update Date | 08/07/2007 |