Provider Demographics
NPI:1033133715
Name:SAGHIAN, ORLY (PSYD)
Entity Type:Individual
Prefix:
First Name:ORLY
Middle Name:
Last Name:SAGHIAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4647 WILLIS AVE
Mailing Address - Street 2:STE 207
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-2620
Mailing Address - Country:US
Mailing Address - Phone:818-501-6373
Mailing Address - Fax:818-501-6373
Practice Address - Street 1:16055 VENTURA BLVD
Practice Address - Street 2:STE 1020
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2611
Practice Address - Country:US
Practice Address - Phone:818-419-1442
Practice Address - Fax:818-501-6373
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY20728103TA0400X, 103TC0700X, 103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling