Provider Demographics
NPI:1689285678
Name:GULYAN, ARMINE (MSW)
Entity Type:Individual
Prefix:
First Name:ARMINE
Middle Name:
Last Name:GULYAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 RALEIGH ST APT 6
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-4125
Mailing Address - Country:US
Mailing Address - Phone:818-404-9299
Mailing Address - Fax:
Practice Address - Street 1:616 RALEIGH ST APT 6
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-4125
Practice Address - Country:US
Practice Address - Phone:818-404-9299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker