Fazlollah Aldavoud, PHD

NPI #1619170958 in Norco, California

Provider Information

NPI Number: 1619170958
Entity Type: Individual
Name: Fazlollah Aldavoud, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PHD
Enumeration Date: Jun 6, 2007
Last Updated: Jul 25, 2022

Practice Location

Address: FIFTH AND WESTERN CALIFORNIA REHABILITATION CENTER
Address 2: DEPT OF CORRECTIONS STATE OF CALIFORNIA
City: Norco
State: California
ZIP Code: 92860
Phone: (951) 737-2683

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X
Specialist	174400000X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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