Provider Demographics
NPI:1912030628
Name:MASSEY, HALEH
Entity Type:Individual
Prefix:DR
First Name:HALEH
Middle Name:
Last Name:MASSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:HALEH
Other - Middle Name:
Other - Last Name:MASSEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, LMFT
Mailing Address - Street 1:32129 LINDERO CANYON RD STE 209
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-5432
Mailing Address - Country:US
Mailing Address - Phone:805-380-6612
Mailing Address - Fax:805-557-0015
Practice Address - Street 1:32129 LINDERO CANYON RD STE 209
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-5432
Practice Address - Country:US
Practice Address - Phone:805-380-6612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50699106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist