Provider Demographics
NPI:1467694794
Name:ARTIN, LEILI SAHRAI (PSYCHOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:LEILI
Middle Name:SAHRAI
Last Name:ARTIN
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Gender:F
Credentials:PSYCHOLOGIST
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Mailing Address - Street 1:4482 BARRANCA PKWY
Mailing Address - Street 2:SUITE #130
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-7701
Mailing Address - Country:US
Mailing Address - Phone:949-278-2872
Mailing Address - Fax:949-451-1789
Practice Address - Street 1:4482 BARRANCA PKWY
Practice Address - Street 2:SUITE 130
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-7701
Practice Address - Country:US
Practice Address - Phone:949-278-2872
Practice Address - Fax:949-451-1431
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-01
Last Update Date:2009-04-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPSY #22590103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist