Provider Demographics
NPI:1225535297
Name:MINASKEIAN, EVA T (ASSOCIATE LMFT)
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:T
Last Name:MINASKEIAN
Suffix:
Gender:F
Credentials:ASSOCIATE LMFT
Other - Prefix:
Other - First Name:EVA
Other - Middle Name:T
Other - Last Name:MAVYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ASSOCIATE LMFT
Mailing Address - Street 1:1551 E SHAW AVE STE 139
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-8025
Mailing Address - Country:US
Mailing Address - Phone:559-320-0490
Mailing Address - Fax:559-320-0494
Practice Address - Street 1:1551 E SHAW AVE STE 139
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-8025
Practice Address - Country:US
Practice Address - Phone:559-320-0490
Practice Address - Fax:559-320-0494
Is Sole Proprietor?:No
Enumeration Date:2018-04-06
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF102755106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist