Provider Demographics
NPI:1396030144
Name:DAVIDI, ARASH (LMFT)
Entity Type:Individual
Prefix:
First Name:ARASH
Middle Name:
Last Name:DAVIDI
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15300 VENTURA BLVD STE 324
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-5864
Mailing Address - Country:US
Mailing Address - Phone:818-517-7808
Mailing Address - Fax:
Practice Address - Street 1:15300 VENTURA BLVD STE 324
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-5864
Practice Address - Country:US
Practice Address - Phone:818-517-7808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-09
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA85168106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist