Provider Demographics
NPI:1699020180
Name:SAATCHIAN, ZIBA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ZIBA
Middle Name:
Last Name:SAATCHIAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 S JACKSON ST
Mailing Address - Street 2:SUITE #204
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-4916
Mailing Address - Country:US
Mailing Address - Phone:818-275-0316
Mailing Address - Fax:
Practice Address - Street 1:135 S JACKSON ST
Practice Address - Street 2:SUITE #204
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-4916
Practice Address - Country:US
Practice Address - Phone:818-275-0316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-20
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY28882103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA94020175OtherCA BOARD OF PSYCHOLOGY- PSYCHOLOGICAL ASSISTANT