Provider Demographics
NPI:1598108714
Name:HAKIM, SYLVIA (PSYCOTHERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:
Last Name:HAKIM
Suffix:
Gender:F
Credentials:PSYCOTHERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:436 N ROXBURY DR
Mailing Address - Street 2:SUITE209
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-5026
Mailing Address - Country:US
Mailing Address - Phone:310-271-1171
Mailing Address - Fax:131-027-1117
Practice Address - Street 1:436 N ROXBURY DR
Practice Address - Street 2:SUITE209
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5026
Practice Address - Country:US
Practice Address - Phone:310-271-1171
Practice Address - Fax:131-027-1117
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-08
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49534106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist