Provider Demographics
NPI:1114464328
Name:TERZYAN, SEDA (PHD)
Entity Type:Individual
Prefix:DR
First Name:SEDA
Middle Name:
Last Name:TERZYAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 BAYSIDE DR STE 2
Mailing Address - Street 2:
Mailing Address - City:CORONA DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92625-1711
Mailing Address - Country:US
Mailing Address - Phone:818-395-2238
Mailing Address - Fax:
Practice Address - Street 1:1550 BAYSIDE DR STE 2
Practice Address - Street 2:
Practice Address - City:CORONA DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92625-1711
Practice Address - Country:US
Practice Address - Phone:949-783-9590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-25
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY29251103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical