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

FAZLOLLAH ALDAVOUD, PHD

Active

FAZLOLLAH ALDAVOUD, PHD is a Clinical Psychologist healthcare provider located in NORCO, California. NPI 1619170958 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · NORCO, CA

Registration Details

NPI Number
1619170958
Provider Type
Individual
Gender
Male
NPI Issued
Jun 6, 2007 (19.205009997157 yrs)
Last Updated
Jul 25, 2022
Licenses
MFC 23813 (CA)
25147 (CA)
PSY 16601 (CA)

Practice Information

Address
FIFTH AND WESTERN CALIFORNIA REHABILITATION CENTER
DEPT OF CORRECTIONS STATE OF CALIFORNIA
NORCO, CA, 92860
Browse CA providers · Browse ZIP 92860
Phone
9517372683
Fax
9512732974
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Specialist
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Providers in NORCO, CA

Name Credential NPI
MEGAN EVE WARD 1427170943
VICTOR A BRANKER PSY.D 1396945754
ERIN GONZALES PSY.D. 1104171867
DR. CAROLINE HIROKO HOLTE PSY.D. 1851644066
DR. HYANGSOOK JUNG PH.D. 1336489384
DR. LAURA ANN PONCIN PH.D. 1952642761
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.