Provider Demographics
NPI:1326685462
Name:STEPANIAN- DUHANCIOGLU, DARIA STEPHANIE
Entity Type:Individual
Prefix:
First Name:DARIA
Middle Name:STEPHANIE
Last Name:STEPANIAN- DUHANCIOGLU
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:PO BOX 6736
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91365-6736
Mailing Address - Country:US
Mailing Address - Phone:818-430-3476
Mailing Address - Fax:
Practice Address - Street 1:464 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-1602
Practice Address - Country:US
Practice Address - Phone:818-430-3476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-09
Last Update Date:2023-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
CA106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist