Dr. Wiyatta Psychology Corporation
NPI #1215534565 in Toluca Lake, California
Provider Information
- NPI Number
- 1215534565
- Entity Type
- Organization
- Organization Name
- Dr. Wiyatta Psychology Corporation
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Oct 8, 2020
- Last Updated
- Oct 8, 2020
Practice Location
- Address
- 10153 1/2 RIVERSIDE DR STE 440
- City
- Toluca Lake
- State
- California
- ZIP Code
- 91602-2561
- Phone
- (310) 621-3673
Authorized Official
- Name
- DR. WIYATTA FAHNBULLEH, PSYD
- Title
- PSYCHOLOGIST
- Phone
- (310) 621-3673
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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