Provider Demographics
NPI:1346024262
Name:DR. DEBBIE PSYCHOLOGY CONSULTANT, INC.
Entity Type:Organization
Organization Name:DR. DEBBIE PSYCHOLOGY CONSULTANT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ESHTIAGHPOUR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:310-740-1013
Mailing Address - Street 1:PO BOX 5019
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90209-5019
Mailing Address - Country:US
Mailing Address - Phone:310-740-1013
Mailing Address - Fax:888-835-2599
Practice Address - Street 1:170 N CRESCENT DR APT 205
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5402
Practice Address - Country:US
Practice Address - Phone:310-740-1013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-22
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty