FAZLOLLAH ALDAVOUD, PHD
Psychologist - Clinical
Active
Individual
NPI: 1619170958
Practice Address
FIFTH AND WESTERN CALIFORNIA REHABILITATION CENTERDEPT OF CORRECTIONS STATE OF CALIFORNIA
Norco, CA 92860
Phone: (951) 737-2683
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | No | MFC 23813 (CA) |
| Specialist | 174400000X | No | 25147 (CA) |
| Psychologist - Clinical | 103TC0700X | Yes | PSY 16601 (CA) |
Frequently Asked Questions
NPI 1619170958 is the National Provider Identifier for FAZLOLLAH ALDAVOUD, PHD, a Psychologist - Clinical provider located in Norco, CA. This NPI was enumerated on June 6, 2007.
FAZLOLLAH ALDAVOUD, PHD practices at FIFTH AND WESTERN CALIFORNIA REHABILITATION CENTER, DEPT OF CORRECTIONS STATE OF CALIFORNIA, Norco, CA 92860.
Quick Facts
- NPI
- 1619170958
- Type
- Individual
- Enumerated
- Jun 6, 2007
- Last Updated
- Jul 25, 2022
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