Provider Demographics
NPI:1922231620
Name:TEYMOORIAN, NADIA (PSYD)
Entity Type:Individual
Prefix:MS
First Name:NADIA
Middle Name:
Last Name:TEYMOORIAN
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 1:23591 EL TORO RD STE 294
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-4767
Mailing Address - Country:US
Mailing Address - Phone:949-394-0959
Mailing Address - Fax:
Practice Address - Street 1:23591 EL TORO RD STE 294
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-4767
Practice Address - Country:US
Practice Address - Phone:949-394-0959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-27
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist