Provider Demographics
NPI:1083313787
Name:PASHANIAN, ELIZABETH
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:PASHANIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 N BRAND BLVD
Mailing Address - Street 2:SUITE 200 UNIT# 336
Mailing Address - City:GLENDALE, CA
Mailing Address - State:CA
Mailing Address - Zip Code:91203-1644
Mailing Address - Country:US
Mailing Address - Phone:424-413-0949
Mailing Address - Fax:
Practice Address - Street 1:138 N BRAND BLVD STE 200
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-4617
Practice Address - Country:US
Practice Address - Phone:424-413-0949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-01
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1138251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical