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

DR. MANOUCHER X TAVAKOLI, PH.D.

Active Sole Proprietor

DR. MANOUCHER X TAVAKOLI, PH.D. is a Clinical Psychologist healthcare provider located in RESEDA, California. NPI 1568572048 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · RESEDA, CA

Registration Details

NPI Number
1568572048
Provider Type
Individual
Gender
Male
NPI Issued
Aug 30, 2006 (19.960680502699 yrs)
Last Updated
Jul 9, 2007
License
PSY11289 (CA)
Sole Proprietor
Yes

Practice Information

Address
18305 SHERMAN WAY
#29
RESEDA, CA, 913354425
Browse CA providers · Browse ZIP 91335
Phone
8189811612
Fax
8666563811
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in RESEDA, CA

Name Credential NPI
DR. STACY LYN BECKER PSY.D. 1225128002
DR. MELANIE ANN LELAND PH.D. 1861573941
RICHIE PHU WONG PSY.D. 1215098595
DR. MAUREEN ANTOINETTE HOLLAND PSY.D. 1407995897
DR. DOUGLAS BRUCE YOUNG PH.D. 1679612394
DR. MONICA L WEIL PSY.D. 1194855148
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.