Provider Demographics
NPI:1376884890
Name:JAVADI, PARVIN (LMFT)
Entity Type:Individual
Prefix:MS
First Name:PARVIN
Middle Name:
Last Name:JAVADI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11312 SANTA MONICA BLVD
Mailing Address - Street 2:5
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-3195
Mailing Address - Country:US
Mailing Address - Phone:310-985-1463
Mailing Address - Fax:
Practice Address - Street 1:11312 SANTA MONICA BLVD
Practice Address - Street 2:5
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-3195
Practice Address - Country:US
Practice Address - Phone:310-985-1463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-07
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist