Provider Demographics
NPI:1396411807
Name:SABERI-SHAKIB, PARVIN (LMFT)
Entity type:Individual
Prefix:
First Name:PARVIN
Middle Name:
Last Name:SABERI-SHAKIB
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18429 PRAIRIE ST APT 6
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91325-2214
Mailing Address - Country:US
Mailing Address - Phone:626-429-5020
Mailing Address - Fax:
Practice Address - Street 1:18429 PRAIRIE ST APT 6
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325-2214
Practice Address - Country:US
Practice Address - Phone:626-429-5020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-17
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA125467106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist