Provider Demographics
NPI:1922179092
Name:MAKHYOUN, NIHAL N (MS,LMFT)
Entity Type:Individual
Prefix:
First Name:NIHAL
Middle Name:N
Last Name:MAKHYOUN
Suffix:
Gender:F
Credentials:MS,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16654 SOLEDAD CANYON RD
Mailing Address - Street 2:SUITE 324
Mailing Address - City:CANYON COUNTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91387-3217
Mailing Address - Country:US
Mailing Address - Phone:661-209-6970
Mailing Address - Fax:661-251-7470
Practice Address - Street 1:29326 HIDDEN OAK PL
Practice Address - Street 2:
Practice Address - City:CANYON COUNTRY
Practice Address - State:CA
Practice Address - Zip Code:91387-5906
Practice Address - Country:US
Practice Address - Phone:661-209-6970
Practice Address - Fax:661-251-7470
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-12
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 41005106H00000X
CA31474103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist