Provider Demographics
NPI:1841613858
Name:ASHIKYAN, ZARA (PHD)
Entity Type:Individual
Prefix:DR
First Name:ZARA
Middle Name:
Last Name:ASHIKYAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15233 VENTURA BLVD STE 350
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-2297
Mailing Address - Country:US
Mailing Address - Phone:818-501-4700
Mailing Address - Fax:818-985-7898
Practice Address - Street 1:15233 VENTURA BLVD STE 350
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-2297
Practice Address - Country:US
Practice Address - Phone:818-501-4700
Practice Address - Fax:818-985-7898
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-27
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY21081103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical