Provider Demographics
NPI:1164480430
Name:OHANJANIAN, ROSANNA (PHD)
Entity Type:Individual
Prefix:
First Name:ROSANNA
Middle Name:
Last Name:OHANJANIAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:ROUZANNA, RUZANNA
Other - Middle Name:
Other - Last Name:OHANJANIAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1189 CAPRI DR
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-6061
Mailing Address - Country:US
Mailing Address - Phone:650-888-8907
Mailing Address - Fax:801-705-1948
Practice Address - Street 1:1451 GRANT RD
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-3250
Practice Address - Country:US
Practice Address - Phone:650-941-7101
Practice Address - Fax:801-705-1948
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY16240103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical