Provider Demographics
NPI:1326370230
Name:VERDI, NOUSHIN ZARINI (MA)
Entity Type:Individual
Prefix:
First Name:NOUSHIN
Middle Name:ZARINI
Last Name:VERDI
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1460 WESTWOOD BLVD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-4975
Mailing Address - Country:US
Mailing Address - Phone:323-206-6874
Mailing Address - Fax:
Practice Address - Street 1:1460 WESTWOOD BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-4975
Practice Address - Country:US
Practice Address - Phone:323-206-6874
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-02
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CA87587106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health