A Gheytanchi Phd, a Psychological Corporation

NPI #1265138630 in Santa Monica, California

Provider Information

NPI Number: 1265138630
Entity Type: Organization
Organization Name: A Gheytanchi Phd, a Psychological Corporation
Primary Specialty: Psychologist
Enumeration Date: Feb 6, 2023
Last Updated: Feb 6, 2023

Practice Location

Address: 3301 OCEAN PARK BLVD STE 110
City: Santa Monica
State: California
ZIP Code: 90405-3223
Phone: (310) 709-3073

Authorized Official

Name: DR. ANAHITA GHEYTANCHI, PHD
Title: OWNER
Phone: (310) 709-3073

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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