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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MINDIA GABICHVADZE, PSYD

Active Sole Proprietor

DR. MINDIA GABICHVADZE, PSYD is a Clinical Neuropsychologist healthcare provider located in BEVERLY HILLS, California. NPI 1063747137 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · BEVERLY HILLS, CA

Registration Details

NPI Number
1063747137
Provider Type
Individual
Gender
Male
NPI Issued
Oct 7, 2009 (16.808908888602 yrs)
Last Updated
Jul 21, 2023
Licenses
PSY34139 (CA)
PSY34139 (CA)
Sole Proprietor
Yes

Practice Information

Address
9713 SANTA MONICA BLVD STE 201
BEVERLY HILLS, CA, 902104236
Browse CA providers · Browse ZIP 90210
Phone
3105645400
Fax
8446542900
Primary Specialty
Clinical Neuropsychologist
103G00000X
Additional Specialty
Clinical Neuropsychologist

Other Clinical Neuropsychologist Providers in BEVERLY HILLS, CA

Name Credential NPI
DR. WILLIAM WADE DEARDORFF PH.D. 1568413250
DR. VERONICA I OLVERA PSYD 1508908500
DR. LEAH ELLENBERG PH.D. 1932312931
DR. DEBORAH S. MIORA PH.D. 1922205566
DR. ALEXANDREA PARK PSY.D. 1982987723
DR. LEILA GLASS PHD 1881031458
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.