Provider Demographics
NPI:1326199563
Name:KRPEKYAN, EVELINA
Entity Type:Individual
Prefix:MRS
First Name:EVELINA
Middle Name:
Last Name:KRPEKYAN
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 1:18651 NAU AVE
Mailing Address - Street 2:
Mailing Address - City:PORTER RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91326-2111
Mailing Address - Country:US
Mailing Address - Phone:818-309-7440
Mailing Address - Fax:
Practice Address - Street 1:16800 DEVONSHIRE ST STE 201
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-7409
Practice Address - Country:US
Practice Address - Phone:818-309-7440
Practice Address - Fax:818-217-4699
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health